Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G54939 | CA |
N | 111NI0900X | Internist | G54939 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | G54939 | CA |
NPI | 1154406015 |
---|---|
Provider Name | Steven Oppenheim |
First Address | West Hollywood, CA 90048-1804 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 17/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G549390 | (05) | CA |
E02759 | (02) |