Provider Demographics
NPI:1730138009
Name:PINSKER, JORDAN (MD)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:PINSKER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2219 BATH STREET
Mailing Address - Street 2:WILLIAM SANSUM DIABETES CENTER
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105
Mailing Address - Country:US
Mailing Address - Phone:805-682-7640
Mailing Address - Fax:805-682-3332
Practice Address - Street 1:2219 BATH STREET
Practice Address - Street 2:WILLIAM SANSUM DIABETES CENTER
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105
Practice Address - Country:US
Practice Address - Phone:805-682-7640
Practice Address - Fax:805-682-3332
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2015-02-27
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Provider Licenses
StateLicense IDTaxonomies
CAA835092080P0205X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology