Individual
JEROME LIPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8733 BEVERLY BLVD, SUITE 200, WEST HOLLYWOOD, CA 90048-1827
(310) 652-3981
(310) 652-3906
Mailing address
8733 BEVERLY BLVD, SUITE 200, WEST HOLLYWOOD, CA 90048-1827
(310) 652-3981
(310) 652-3906
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A015723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A157230
—
CA
Enumeration date
02/28/2012
Last updated
02/28/2012
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