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NPI Code Detail

MEDICARE: DR. ERIC J PINDERSKI M.D.

MEDICARE:  DR. ERIC J PINDERSKI  M.D.
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
1207R00000XInternal Medicine PhysicianA62042CA

Other Identifiers

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

General Provider Information

NPI Number : 1235131343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC J PINDERSKI M.D.
Provider Business Mailing Address
First Line : 777 FLOWER ST
Second Line : STE A
City : GLENDALE
State : CA
Zip : 91201-3000
Country : US
Telephone Number : 818-637-2000
Fax Number : 818-242-8761
Provider Business Practice Location Address
First Line : 12660 RIVERSIDE DR
Second Line : STE 310
City : N HOLLYWOOD
State : CA
Zip : 91607-3431
Country : US
Telephone Number : 818-755-0391
Fax Number : 818-753-8165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/14/2011

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Directions to “ DR. ERIC J PINDERSKI M.D.” Practice Location

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