Mink, Jerrold
Mink, Jerrold is an individual health care provider with primary practice located at 8670 Wilshire Blvd Ste 101 , Beverly Hills CA 90211-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mink, Jerrold can be contacted via phone (310) 358-2100.Contact Information
Primary practice address
8670 Wilshire Blvd Ste 101
Beverly Hills CA 90211-2930
Phone: (310) 358-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G22691 | California |
Profile Details
| NPI number | 1619925971 |
|---|---|
| LBN Legal business name | Mink, Jerrold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 10th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619925971 | NPPES |
| California | MEDICAID | 00G226910 |
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