Provider Demographics
NPI:1003832668
Name:SPERLING MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SPERLING MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO SPERLING MEDICAL CORP
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-776-9606
Mailing Address - Street 1:5620 WILBUR AVE.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-776-9606
Mailing Address - Fax:818-776-9609
Practice Address - Street 1:5620 WILBUR AVE.
Practice Address - Street 2:SUITE 203
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-776-9606
Practice Address - Fax:818-776-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20005Medicare PIN