Provider Demographics
NPI:1104863323
Name:STRIPLIN, DONALD BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BRIAN
Last Name:STRIPLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23600 TELO AVE
Mailing Address - Street 2:SUITE# 180
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4035
Mailing Address - Country:US
Mailing Address - Phone:310-257-1500
Mailing Address - Fax:310-257-1511
Practice Address - Street 1:23600 TELO AVE
Practice Address - Street 2:SUITE# 180
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4035
Practice Address - Country:US
Practice Address - Phone:310-257-1500
Practice Address - Fax:310-257-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG75766207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF75890Medicare UPIN
CAG75766Medicare ID - Type Unspecified