Organization Active NPI

Israel Gorinstein M.D., Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1689862732
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A35991 Issued in CA
Legal business name
ISRAEL GORINSTEIN M.D., INC
Practice address
5901 W Olympic Blvd
Suite 203
Los Angeles, CA 90036-4667
Phone
(323) 931-1100
Fax
(323) 930-1354
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Rachel / Laura Gorinstein
Title
Manager
Phone
(323) 931-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A35991 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd
Suite 203
Los Angeles, CA 90036-4667

Mailing address

PO Box 480560
Los Angeles, CA 90048-1560
Phone (323) 931-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000373 CA Part B Supplier - Clinic/Group Practice 7113007246 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

5901 W Olympic Blvd
Ste 203
Los Angeles, CA 90036
Phone (310) 652-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1689862732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480560",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481560",
            "telephone_number": "323-931-1100",
            "fax_number": "323-930-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "323-931-1100",
            "fax_number": "323-930-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRAEL GORINSTEIN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "GORINSTEIN",
        "authorized_official_first_name": "RACHEL / LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-931-1100"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A35991",
            "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 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.