Organization
BARRY S NEIDORF MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY SHERWIN NEIDORF MD (OWNER)
(310) 277-2771
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1006, LOS ANGELES, CA 90067
(310) 277-2771
(310) 277-5184
Mailing address
2080 CENTURY PARK EAST, SUITE 1006, LOS ANGELES, CA 90067
(310) 277-2771
(310) 277-5184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G20179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G201790
—
CA
Enumeration date
08/22/2007
Last updated
03/28/2012
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