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

Last updated

Feb 22, 2012By the provider in NPPES

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.NPI 1275807968

Title

President

Phone

(310) 652-3981

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerome Lipin, M.D.

  • Pediatrics Physician
  • West Hollywood, CA
  • NPI 1275807968
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

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• 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.