Provider Demographics
NPI:1194385005
Name:JOIN CLINICAL TRIALS
Entity Type:Organization
Organization Name:JOIN CLINICAL TRIALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBRINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-593-4119
Mailing Address - Street 1:2771 E FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5750
Mailing Address - Country:US
Mailing Address - Phone:310-593-4119
Mailing Address - Fax:
Practice Address - Street 1:2771 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5750
Practice Address - Country:US
Practice Address - Phone:310-593-4119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch