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Organization
S PINE A MEDICAL CORPORATION
Active
Organization
S PINE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN NATHAN PINE MD (MD)
(818) 757-2235
Entity
Organization
Contact information
Practice address
637 LUCAS AVE STE 205, LOS ANGELES, CA 90017-1912
(818) 757-2235
Mailing address
9601 KENTLAND AVE, CHATSWORTH, CA 91311-2671
(818) 757-2235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C33483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356352108
—
CA
Enumeration date
06/09/2010
Last updated
06/09/2010
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