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NPI Code Detail

MEDICARE: DR. JOSEPH S ENGLANOFF M.D.

MEDICARE: DR. JOSEPH S ENGLANOFF 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
1207P00000XEmergency Medicine PhysicianG77404CA

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 : 1295780260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH S ENGLANOFF M.D.
Provider Business Mailing Address
First Line : DEPT 2268
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-0001
Country : US
Telephone Number : 714-522-2001
Fax Number : 714-522-7503
Provider Business Practice Location Address
First Line : 21530 PIONEER BLVD
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-2608
Country : US
Telephone Number : 714-522-2001
Fax Number : 714-522-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/01/2013

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