RICHARD PROTZEL MD, INC. (NPI# 1518006014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518006014 |
| Entity Type | Organization |
| Organization Name | RICHARD PROTZEL MD, INC. |
| Other Organization Name | PROTZEL PATHOLOGY LABORATORY |
| Practice Address |
9735 Wilshire Blvd # 249 Beverly Hills CA 90212-2107 |
| Practice Telephone | 3108580774 |
| Practice Fax Number | 3108580983 |
| Mailing Telephone | 3108580774 |
| Mailing Fax Number | 3108580983 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. RICHARD PROTZEL (PATHOLOGIST OWNER) |
| Authorized Official Telephone | 3108580874 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RICHARD PROTZEL MD,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB04134F | 05 |
| Other Name | Type Code |
|---|---|
| Protzel Pathology Laboratory | Doing Business As Name - Organization |
| Street Address |
9735 WILSHIRE BLVD # 249 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992103188 | City of Angels Dermatology Inc | Clinical Medical Laboratory | 435 N Roxbury Dr Ste 207, Beverly Hills, CA 90210-5004 | 2014-12-20 |
| 1184993255 | Unicare Sleep Center Inc | Clinical Medical Laboratory | 369 S Doheny Dr # 248, Beverly Hills, CA 90211-3577 | 2011-12-20 |
| 1689745358 | Mobile Cardiac Imaging | Clinical Medical Laboratory | 352 S Clark Dr, Beverly Hills, CA 90211-3608 | 2006-11-13 |
| 1265515001 | West Florida Medical Associates P A | Clinical Medical Laboratory | 3404 C N Lecanto Hwy, Beverly Hills, FL 34465 | 2006-10-23 |
| 1265532113 | Laboratory Medicine Consultants Inc. | Clinical Medical Laboratory | 9301 Wilshire Blvd Ste 205, Beverly Hills, CA 90210-6110 | 2006-09-22 |
| 1538678842 | Pivotal Diagnostics, LLC | Clinical Medical Laboratory | 150 N. Robertson Blvd., #204, Beverly Hills, CA 90211 | 2017-09-29 |
| 1356700678 | Pacific Oaks Medical Group & Subsidiary | Clinical Medical Laboratory | 150 N Robertson Blvd Ste 300, Beverly Hills, CA 90211-2145 | 2016-02-15 |
| 1760749469 | One Source Laboratories, Inc | Clinical Medical Laboratory | 9663 Santa Monica Blvd, Suite 363, Beverly Hills, CA 90210-4303 | 2012-04-18 |
| 1336436138 | The Heart Shack | Clinical Medical Laboratory | 9107 Wilshire Blvd, Suite 450, Beverly Hills, CA 90210-5531 | 2011-06-30 |
| 1356660542 | Labwest, Inc | Clinical Medical Laboratory | 9735 Wilshire Blvd, Ste 219, Beverly Hills, CA 90212-2107 | 2010-05-27 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on RICHARD PROTZEL MD, INC..
| 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.