Susan J. Edelstein, M.D., Inc.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

A062071 Issued in CA

Legal business name

SUSAN J. EDELSTEIN, M.D., INC.

Practice address

150 N Robertson Blvd
Suite 204
Beverly Hills, CA 90211-2142

Phone

(310) 659-1300

Fax

(310) 659-4300

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Joy Edelstein, M.D.NPI 1962532796

Title

President

Phone

(310) 659-1300

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Joy Edelstein, M.D.

  • Pediatric Gastroenterology Physician
  • Beverly Hills, CA
  • NPI 1962532796
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1023222908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-659-1300",
            "fax_number": "310-659-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-659-1300",
            "fax_number": "310-659-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. EDELSTEIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A062071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Wayne Surrey, M.D.
• Susan a Baker MD Inc
• Susan a Mandel MD Inc
• Susan Azad MD Inc
• Susan Graysen PHD a Psychological Corporation
• Susan L Williams PHD a Psychological Corporation
• Susan L. Williams PHD. a Psychological Corp.
• Liza Sutterby, PT, DPT
• Suzanne a. Trott, MD, Inc.
• Suzanne L. Berkman, M.D., Inc.

• Pediatric Gastroenterology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.