Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | G55092 | CA |
NPI | 1871677724 |
---|---|
Provider Name | David Drew Pinsky |
First Address | Altadena, CA 91001-2516 |
Second Address | South Pasadena, CA 91030-4900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 29/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B57975 | (02) |