Provider Demographics
NPI:1417116732
Name:PINTER, RUTH (RN / FNP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:PINTER
Suffix:
Gender:F
Credentials:RN / FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12922 VICTORY BLVD
Mailing Address - Street 2:ASSUTA FAMILY MEDICAL GROUP APMC
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-2924
Mailing Address - Country:US
Mailing Address - Phone:818-760-2800
Mailing Address - Fax:818-760-7343
Practice Address - Street 1:12922 VICTORY BLVD
Practice Address - Street 2:ASSUTA FAMILY MEDICAL GROUP APMC
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-2924
Practice Address - Country:US
Practice Address - Phone:818-760-2800
Practice Address - Fax:818-760-7343
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251964163W00000X
CA18807363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA251964OtherBOARD OF REGISTERED NURSING
CA18807OtherNURSE PRACTITIONER CERTIFICATE