Provider Demographics
NPI:1518938216
Name:SPIEGEL, JANE SINDEN (MD MSPH)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:SINDEN
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MD MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 20TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2096
Mailing Address - Country:US
Mailing Address - Phone:310-315-0196
Mailing Address - Fax:310-315-0198
Practice Address - Street 1:1301 20TH ST STE 110
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2096
Practice Address - Country:US
Practice Address - Phone:310-315-0196
Practice Address - Fax:310-315-0198
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C38519AMedicare ID - Type Unspecified
A88018Medicare UPIN