DR. RALPH S WOLFSTEIN (NPI# 1326107160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326107160 |
| Entity Type | Individual |
| Full Name | DR. RALPH S WOLFSTEIN |
| Credential | M.D. |
| Practice Address |
12099 W Washington Blvd Suite #304 Los Angeles CA 90066-2621 |
| Practice Telephone | 3103980013 |
| Practice Fax Number | 3103984470 |
| Mailing Telephone | 3103980013 |
| Mailing Fax Number | 3103984470 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2016-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C021310 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA LICENSE | AW423104 | 01 |
| Street Address |
12099 W WASHINGTON BLVD SUITE #304 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699717462 | Jose L Villagomez | Emergency Medicine | 12099 W Washington Blvd, Ste 400, Los Angeles, CA 90066-5882 | 2006-06-13 |
| 1346854403 | Adrianna Franco | Student in an Organized Health Care Education/Training Program | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2020-09-04 |
| 1861036956 | Kenia P Martinez | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-10-31 |
| 1881243178 | Jenny Pinto | Student in an Organized Health Care Education/Training Program | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-09-09 |
| 1508411125 | Desiree Pacheco | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-08-09 |
| 1720633183 | Bianca Jaelyn Collazo | Marriage & Family Therapist | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-08-02 |
| 1295296580 | Shugar Jones | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2019-03-28 |
| 1982188900 | Wendi Jessica Avila | Counselor | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2018-09-17 |
| 1609382308 | Karina Del Campo | Case Manager/Care Coordinator | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2017-12-18 |
| 1467982280 | Kevin Emilio Perez | Rehabilitation Practitioner | 12099 W Washington Blvd, Los Angeles, CA 90066-5882 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on DR. RALPH S WOLFSTEIN.
| 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.