Organization Active NPI

Jerrold H Steiner MD a Medical Corp

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1588795389
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G13649 Issued in CA
Legal business name
JERROLD H STEINER MD A MEDICAL CORP
Practice address
310 N San Vicente Blvd
Suite 315
Los Angeles, CA 90048-1810
Phone
(310) 423-9331
Fax
(310) 423-9399
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Jerrold Steiner, MD
Title
President
Phone
(310) 423-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G13649 CA Primary

Addresses

Primary practice location

310 N San Vicente Blvd
Suite 315
Los Angeles, CA 90048-1810

Mailing address

310 N San Vicente Blvd
Suite 315
Los Angeles, CA 90048-1810
Phone (310) 423-9331

National Provider Directory

National Provider Directory

Locations

310 N San Vicente Blvd
#237
West Hollywood, CA 90048

310 N San Vicente Blvd
Ste 315
West Hollywood, CA 90048
Phone (310) 423-9331

310 N San Vicente Blvd
Ste 237
West Hollywood, CA 90048
Phone (310) 423-9331

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1588795389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N SAN VICENTE BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481810",
            "telephone_number": "310-423-9331",
            "fax_number": "310-423-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N SAN VICENTE BLVD",
            "address_2": "SUITE 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481810",
            "telephone_number": "310-423-9331",
            "fax_number": "310-423-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLD H STEINER MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-9331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G13649",
            "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 Jan 29, 2014; 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.