Lavine, Joel Edward

Lavine, Joel Edward is an individual health care provider with primary practice located at 8110 Birmingham Way , San Diego CA 92123-2758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lavine, Joel Edward can be contacted via phone (858) 966-4003.

Contact Information

Primary practice address
8110 Birmingham Way San Diego CA 92123-2758
Phone: (858) 966-4003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G56151 California
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X G56151 California

Profile Details

NPI number 1023189875
LBN Legal business name Lavine, Joel Edward
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023189875 NPPES
California MEDICAID 00G561510

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