Provider Demographics
NPI:1033436654
Name:MEINHARDT, ERIC JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JOEL
Last Name:MEINHARDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11645 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1080
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1708
Mailing Address - Country:US
Mailing Address - Phone:310-275-1170
Mailing Address - Fax:310-275-1076
Practice Address - Street 1:11645 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1080
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1708
Practice Address - Country:US
Practice Address - Phone:310-275-1170
Practice Address - Fax:310-275-1076
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA113988207N00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology