Healthcare Provider Details

I. General information

NPI: 1023578101
Provider Name (Legal Business Name): ERNEST JAMES RIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N VERMONT AVE
LOS ANGELES CA
90027-6098
US

IV. Provider business mailing address

1 BROOKDALE PLZ
BROOKLYN NY
11212-3198
US

V. Phone/Fax

Practice location:
  • Phone: 213-413-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA182811
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD26419
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: