Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G29248 | CA |
NPI | 1124394424 |
---|---|
Provider Name | Dennis Ainbinder |
First Address | Encino, CA 91426-0617 |
Second Address | Encino, CA 91436-4554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 30/03/2012 |