MEDICARE: DR. ISRAEL GORINSTEIN 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
1	174400000X	Specialist	A35991	CA

General Provider Information

NPI Number	:	1952495392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISRAEL GORINSTEIN M.D.

Provider Business Mailing Address
First Line	:	P.O.BOX 480560
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048
Country	:	US
Telephone Number	:	310-652-7300
Fax Number	:	310-652-7301

Provider Business Practice Location Address
First Line	:	8500 WILSHIRE BLVD
Second Line	:	SUITE 615
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3121
Country	:	US
Telephone Number	:	310-652-7300
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/20/2008

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