Organization
JEROME L. LIPIN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME L LIPIN M.D., M.S. (PRESIDENT)
(310) 652-3981
Entity
Organization
Contact information
Practice address
8733 BEVERLY BLVD, SUITE 200, WEST HOLLYWOOD, CA 90048-1827
(310) 652-3981
(316) 652-3155
Mailing address
8733 BEVERLY BLVD, SUITE 200, WEST HOLLYWOOD, CA 90048-1827
(310) 652-3981
(316) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A15723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A157230
—
CA
Enumeration date
11/28/2006
Last updated
02/22/2012
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