Organization Active NPI

Ezra Kest, M.D., a Professional Corporation

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1235351479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G58408 Issued in CA
Legal business name
EZRA KEST, M.D., A PROFESSIONAL CORPORATION
Practice address
9201 W Sunset Blvd Ste 500
Los Angeles, CA 90069-3706
Phone
(310) 276-1252
Fax
(310) 276-1250
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Tocts
Title
Billing Manager
Phone
(626) 814-9604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G58408 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 500
Los Angeles, CA 90069-3706

Mailing address

2017 W Garvey Ave N
West Covina, CA 91790-2050
Phone (626) 814-9604

National Provider Directory

National Provider Directory

Locations

248 E Rowland St
Covina, CA 91723

2017 W Garvey Ave N
West Covina, CA 91790

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235351479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902050",
            "telephone_number": "626-814-9604",
            "fax_number": "626-814-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693706",
            "telephone_number": "310-276-1252",
            "fax_number": "310-276-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZRA KEST, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOCTS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "626-814-9604"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G58408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.