Provider Demographics
NPI:1922195338
Name:NANCY ZIMBLE MD HOWARD REINSTEIN MD A MEDICAL CORP
Entity Type:Organization
Organization Name:NANCY ZIMBLE MD HOWARD REINSTEIN MD A MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:REINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-784-5437
Mailing Address - Street 1:5400 BALBOA BLVD
Mailing Address - Street 2:103
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316
Mailing Address - Country:US
Mailing Address - Phone:818-784-5437
Mailing Address - Fax:818-784-3836
Practice Address - Street 1:5400 BALBOA BLVD
Practice Address - Street 2:103
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-784-5437
Practice Address - Fax:818-784-3836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR 0008420Medicaid