Healthcare Provider Details

I. General information

NPI: 1932281888
Provider Name (Legal Business Name): JAMES RICHARD ESTHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 NORTH MADISON AVE. SUITE 409
PASADENA CA
91101-2049
US

IV. Provider business mailing address

65 NORTH MADISON AVE. SUITE 409
PASADENA CA
91101-2049
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-2695
  • Fax:
Mailing address:
  • Phone: 626-796-2695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG12360
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: