Healthcare Provider Details

I. General information

NPI: 1841339165
Provider Name (Legal Business Name): RINA IOFEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 12/08/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4816 E 3RD ST
LOS ANGELES CA
90022-1602
US

IV. Provider business mailing address

4816 E 3RD ST
LOS ANGELES CA
90022-1602
US

V. Phone/Fax

Practice location:
  • Phone: 323-780-4510
  • Fax: 323-780-6132
Mailing address:
  • Phone: 323-780-4510
  • Fax: 323-780-6132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number20A8645
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: