Potkin, Ralph Terry
Potkin, Ralph Terry is an sole proprietor health care provider with primary practice located at 1125 S Beverly Dr #406, La CA 90035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Potkin, Ralph Terry can be contacted via phone (310) 551-1178.Contact Information
Primary practice address
1125 S Beverly Dr #406
La CA 90035
Phone: (310) 551-1178
Fax: (310) 551-2047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G38416 | California |
Profile Details
| NPI number | 1710043096 |
|---|---|
| LBN Legal business name | Potkin, Ralph Terry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710043096 | NPPES |
| California | MEDICAID | 00G384160 |
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