Provider Demographics
NPI:1689674715
Name:SAPERSTEIN, HARRY W (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:W
Last Name:SAPERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8920 WILSHIRE BLVD
Mailing Address - Street 2:#545
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2007
Mailing Address - Country:US
Mailing Address - Phone:310-854-3003
Mailing Address - Fax:310-854-0811
Practice Address - Street 1:8920 WILSHIRE BLVD
Practice Address - Street 2:#545
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2007
Practice Address - Country:US
Practice Address - Phone:310-854-3003
Practice Address - Fax:310-854-0811
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2010-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG37913207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA47282Medicare UPIN