Individual
DR. JOEL M GEIDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD., LOS ANGELES, CA 90048-1865
(310) 423-8600
(310) 423-0424
Mailing address
PO BOX 51258, LOS ANGELES, CA 90051-5558
(310) 423-8600
(310) 423-0424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G38819
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G38819
CA
Other
Enumeration date
11/17/2006
Last updated
08/06/2014
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