Teitelbaum, George P.
Teitelbaum, George P. is an individual health care provider with primary practice located at 2121 Santa Monica Blvd , Santa Monica CA 90404-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Teitelbaum, George P. can be contacted via phone (310) 829-8319.Contact Information
Primary practice address
2121 Santa Monica Blvd
Santa Monica CA 90404-2303
Phone: (310) 829-8319
Fax: (310) 582-7495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G45097 | California |
Profile Details
NPI number | 1982645602 |
---|---|
LBN Legal business name | Teitelbaum, George P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Jan 25th, 2024 - about 11 months 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 | 1982645602 | NPPES |
California | MEDICAID | 00G450970 | |
California | MEDICAID | 1982645602 | |
California | Other | 00G450970 |
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