MEDICARE: DR. JOEL ALAN NEEDELMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26279	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154490324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL ALAN NEEDELMAN

Provider Business Mailing Address
First Line	:	11980 SAN VINCENTE BLVD
Second Line	:	104
City	:	LOS ANGELES
State	:	CA
Zip	:	90049
Country	:	US
Telephone Number	:	310-820-1496
Fax Number	:	310-820-4186

Provider Business Practice Location Address
First Line	:	11980 SAN VINCENTE BLVD
Second Line	:	104
City	:	LOS ANGELES
State	:	CA
Zip	:	90049
Country	:	US
Telephone Number	:	310-820-1696
Fax Number	:	310-820-4186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	02/15/2026

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Directions to “ DR. JOEL ALAN NEEDELMAN ” Practice Location

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