Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | G40081 | CA |
NPI | 1265456610 |
---|---|
Provider Name | Dr. Stuart Zane Epstein |
First Address | Beverly Hills, CA 90212 |
Second Address | Beverly Hills, CA 90212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A92157 | (02) |