Enzmann, Dieter
Enzmann, Dieter is an individual health care provider with primary practice located at 10833 Le Conte Ave , Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Enzmann, Dieter can be contacted via phone (310) 301-6800.Contact Information
Primary practice address
10833 Le Conte Ave
Los Angeles CA 90095-3075
Phone: (310) 301-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G26559 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G26559 | California |
Profile Details
| NPI number | 1598723801 |
|---|---|
| LBN Legal business name | Enzmann, Dieter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 8th, 2010 - about 14 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 | 1598723801 | NPPES |
| California | MEDICAID | 00G0265590 |
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