Provider Demographics
NPI:1265456610
Name:EPSTEIN, STUART ZANE (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ZANE
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9735 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-274-6853
Mailing Address - Fax:310-275-4303
Practice Address - Street 1:9735 WILSHIRE BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212
Practice Address - Country:US
Practice Address - Phone:310-274-6853
Practice Address - Fax:310-275-4303
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG40081207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
A92157Medicare UPIN
G40081Medicare ID - Type Unspecified