KYRSTIN LYNNICE LANE


Address: 700 W 7th St Ste S-270d, Los Angeles, CA 90017-3768
Phone: 2139888380

KYRSTIN LYNNICE LANE (NPI# 1245626712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245626712
Entity Type Individual
Full Name KYRSTIN LYNNICE LANE
Practice Address 700 W 7th St Ste S-270d
Los Angeles
CA 90017-3768
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Practice Telephone 2139888380
Practice Fax Number 2139888390
Enumeration Date 2015-04-12
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
A155305 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA FL8015908 01
CA STATE LICENSE A155305 01

Office Location

Street Address 700 W 7TH ST STE S-270D
City LOS ANGELES
State CA
Zip Code 90017-3768

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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366061863 Karen L. Herbst, Md, PC Internal Medicine 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 2020-04-14
1982907010 Carol B Teutsch Internal Medicine 841 Moon Ave, Los Angeles, CA 90065-4143 2010-12-12
1851694079 Harry Weisman, M.d., F.a.c.p. Internal Medicine 100 Ucla Medical Plz Ste 220, Los Angeles, CA 90024-7004 2010-12-09
1851624878 Medical and Behavioral Consultants, Inc Internal Medicine 415 Gayley Ave, Apt #304, Los Angeles, CA 90024-2008 2009-09-09
1437380789 Sina Tebi Internal Medicine 10519 Tennessee Ave, Los Angeles, CA 90064-2327 2009-08-04
1497914550 Ines Donangelo Internal Medicine 200 Medical Plaza #530, Los Angeles, CA 90095-5442 2008-06-04
1407078215 Nissar Shah Internal Medicine 3265 S. Sepulveda Blvd., #208, Los Angeles, CA 90034 2007-05-02
1356462808 Rashmi S Mullur Internal Medicine 8700 Beverly Blvd, Suite B-131, Division of Endocrinology Cedars Sinai Medical Center, Los Angeles, CA 90048 2007-04-03
1952485773 Han Kyu Suh Internal Medicine 4220w 3rd St, Los Angeles, CA 90020 2006-10-25
1750470134 La Clinic of Medicine Genetics and Preventive Care Internal Medicine 369 N Fairfax Ave Ste 2, Los Angeles, CA 90036-2175 2006-10-12
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Competitor

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City LOS ANGELES
Zip Code 90017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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