Physician Compare National (NPI:1003075037)

HEALTHCARE PROVIDER: INNA KESELMAN M.D., PH.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003075037
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547426934
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120731000140
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KESELMAN
	Individual professional last name
Provider First Name	INNA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1456255959
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	102
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 MEDICAL PLZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 425
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900950001
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3107941500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050262
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RONALD REAGAN U C L A MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050112
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050603
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SADDLEBACK MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050678
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ORANGE COAST MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y