JEROME WOLLMAN (NPI# 1639103427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103427 |
| Entity Type | Individual |
| Full Name | JEROME WOLLMAN |
| Credential | MD |
| Practice Address |
10833 Le Conte Ave Ste B186 Chs Los Angeles CA 90095-3075 |
| Mailing Address |
5767 W. Century Blvd #400 Los Angeles CA 90045-5655 |
| Practice Telephone | 3107948285 |
| Mailing Telephone | 3107948285 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
G11940 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G119400 | 05 |
| Street Address |
10833 LE CONTE AVE STE B186 CHS |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386032 | Sepehr Hamidi | Pathology | 10833 Le Conte Ave # 255-c, Los Angeles, CA 90095 | 2012-04-27 |
| 1700175684 | Yuna Kang | Pathology | 10833 Le Conte Ave Rm B186, Los Angeles, CA 90095 | 2011-03-31 |
| 1508248782 | Scott Diamond | Pathology | 757 Westwood Plz, Los Angeles, CA 90095-5004 | 2015-06-24 |
| 1437537412 | Serge Alexanian | Pathology | 924 Westwood Blvd, Ste. 730, Los Angeles, CA 90095-1732 | 2015-05-11 |
| 1225456726 | Nima Amini | Pathology | 11819 Wilshire Blvd Ste 205, Los Angeles, CA 90025-6631 | 2014-04-01 |
| 1083855464 | Seong Ra | Pathology | Ucla Medical Ctr, 10833 Le Conte Avenue, Rm A7-149, Los Angeles, CA 90095-0001 | 2009-03-16 |
| 1174787485 | Chandra N Smart | Pathology | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2008-07-16 |
| 1366646283 | Honggang Shen | Pathology | 2440 S Sepulveda Blvd, Suite 181, Los Angeles, CA 90064-1784 | 2007-06-13 |
| 1922180801 | Lyndon D Su | Pathology | 2440 S Sepulveda Blvd, Suite 235, Los Angeles, CA 90064-1784 | 2006-10-19 |
| 1376633420 | Kittane A Ranganath | Pathology | 11301 Wilshire Blvd, Building 500, Los Angeles, CA 90073-1003 | 2006-10-12 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.