Provider Demographics
NPI:1932281888
Name:ESTHER, JAMES RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RICHARD
Last Name:ESTHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 NORTH MADISON AVE.
Mailing Address - Street 2:SUITE 409
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2049
Mailing Address - Country:US
Mailing Address - Phone:626-796-2695
Mailing Address - Fax:
Practice Address - Street 1:65 NORTH MADISON AVE.
Practice Address - Street 2:SUITE 409
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2049
Practice Address - Country:US
Practice Address - Phone:626-796-2695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG12360207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38635Medicare UPIN
CAG12360Medicare ID - Type Unspecified