Provider Demographics
NPI:1922457399
Name:PINASHIN, ERIC STEPHEN
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:STEPHEN
Last Name:PINASHIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 COLDWATER CANYON AVE
Mailing Address - Street 2:UNIT 12
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-2929
Mailing Address - Country:US
Mailing Address - Phone:818-731-0782
Mailing Address - Fax:
Practice Address - Street 1:6301 COLDWATER CANYON AVE.
Practice Address - Street 2:UNIT 12
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-2929
Practice Address - Country:US
Practice Address - Phone:818-731-0782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36276390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program