Active NPI
Ilan Hartstein, MD. Inc
- Ophthalmology Physician
- La Palma, CA
National Provider Identifier
1659601987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G59917
- Legal business name
- ILAN HARTSTEIN, MD. INC
- Practice address
- 7851 Walker St
Suite 207
La Palma, CA 90623-1747 - Phone
- (714) 522-4862
- Fax
- (714) 522-4293
- NPI assigned
- Jan 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ilan Hartstein, M.D.
- Title
- President, Doctor
- Phone
- (714) 522-4862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G59917 | CA | Primary |
Addresses
Primary practice location
7851 Walker St
Suite 207
La Palma, CA 90623-1747
Mailing address
7851 Walker St
Suite 207
La Palma, CA 90623-1747
Phone (714) 522-4862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G0599170 | Medicaid | CA |
Other names 1
- Ilan Hartstein, MD. Inc
National Provider Directory
National Provider DirectoryLocations
7851 Walker St
Ste 207
La Palma, CA 90623
Phone (714) 522-4862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264032000000",
"number": "1659601987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7851 WALKER ST",
"address_2": "SUITE 207",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231747",
"telephone_number": "714-522-4862",
"fax_number": "714-522-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 WALKER ST",
"address_2": "SUITE 207",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231747",
"telephone_number": "714-522-4862",
"fax_number": "714-522-4293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILAN HARTSTEIN, MD. INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-21",
"status": "A",
"authorized_official_last_name": "HARTSTEIN",
"authorized_official_first_name": "ILAN",
"authorized_official_title_or_position": "PRESIDENT, DOCTOR",
"authorized_official_telephone_number": "714-522-4862",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G59917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G0599170",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ilan Hartstein, MD. Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.