Jerome L. Lipin, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A15723 Issued in CA

Legal business name

JEROME L. LIPIN, MD, INC

Practice address

8733 Beverly Blvd
Suite 200
West Hollywood, CA 90048-1827

Phone

(310) 652-3981

Fax

(316) 652-3155

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerome L Lipin, M.D., M.S.

Title

President

Phone

(310) 652-3981

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1508932740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-652-3981",
            "fax_number": "316-652-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 200",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-652-3981",
            "fax_number": "316-652-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME L. LIPIN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "LIPIN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-3981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A15723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A157230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R. Yates Inc.
• Jennifer Adderly, LMFT
• Caren Jensen, LMFT
• William Jeon
• Katlyn Jerkins
• Jessica M Rabbany MD Inc
• Jewish Family Service of la
• Vidya Jeyendran
• JFL Medical Inc
• JFS Partners Adult Day Health Care Center

• Specialist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.