Individual
MR. ALEXANDER VAINSHTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9400 BRIGHTON WAY, SUITE #410, BEVERLY HILLS, CA 90210-4703
(310) 274-0657
(310) 274-6083
Mailing address
9400 BRIGHTON WAY, SUITE #410, BEVERLY HILLS, CA 90210-4703
(310) 274-0657
(310) 274-6083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18224
MEDICARE SUBMITTER NUMBER
CA
Enumeration date
12/19/2006
Last updated
10/04/2007
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