Provider Demographics
NPI:1184976250
Name:JAMES R. ESTHER,M.D.,INC
Entity type:Organization
Organization Name:JAMES R. ESTHER,M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ESTHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-796-2695
Mailing Address - Street 1:65 N MADISON AVE
Mailing Address - Street 2:SUITE 409
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2035
Mailing Address - Country:US
Mailing Address - Phone:626-796-2695
Mailing Address - Fax:626-796-2696
Practice Address - Street 1:65 N MADISON AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2035
Practice Address - Country:US
Practice Address - Phone:626-796-2695
Practice Address - Fax:626-796-2696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG12360207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG12360Medicare PIN