Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A113988 | CA |
N | 207ND0900X | Dermatopathologist | A113988 | CA |
NPI | 1033436654 |
---|---|
Provider Name | Dr. Eric Joel Meinhardt |
First Address | Los Angeles, CA 90025-1708 |
Second Address | Los Angeles, CA 90025-1708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 01/03/2017 |