Healthcare Provider Details

I. General information

NPI: 1508857079
Provider Name (Legal Business Name): IRINA PINSKY DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E HUNTINGTON DR
ARCADIA CA
91006-3748
US

IV. Provider business mailing address

1000 SAN GABRIEL BLVD STE 200
ROSEMEAD CA
91770-4394
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-1884
  • Fax: 626-445-5034
Mailing address:
  • Phone: 323-724-0019
  • Fax: 323-248-7044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE4421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: