Erwinn Martin C Sistoza, M.D.,Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A76101 Issued in CA

Legal business name

ERWINN MARTIN C SISTOZA, M.D.,INC.

Practice address

1711 W Temple St
Suite 5638
Los Angeles, CA 90026-5421

Phone

(310) 989-6107

Fax

(310) 989-6519

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Erwinn C Sistoza, M.D.

Title

President

Phone

(310) 348-9138

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1104016856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 GREEN VALLEY CIR",
            "address_2": "UNIT 115",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307073",
            "telephone_number": "310-348-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 5638",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "310-989-6107",
            "fax_number": "310-989-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERWINN MARTIN C SISTOZA, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "SISTOZA",
        "authorized_official_first_name": "ERWINN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-348-9138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A76101",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrewlee Ervin, LPT
• Antwon Ervin
• Danielle Leanna Ervin, MD
• Deirdre Rena Ervin
• Will A Ervin
• Heather D Erzen, MS, RD, CNSC
• Tambari Nulog Esaenwi, NP
• Manasanunt Esariyakuntham, PROG. SPT SPECIALIST
• Alejandro Escalante Jr.
• Dora Alicia Escalante

• Geriatric Medicine (Internal Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.