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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1619925971 NPPES
California MEDICAID 00G226910

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