Provider Demographics
NPI:1245338409
Name:PARTNOW, JOSHUA LEE (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:LEE
Last Name:PARTNOW
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 1:1726 S BENTLEY AVE
Mailing Address - Street 2:PH 2
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4347
Mailing Address - Country:US
Mailing Address - Phone:609-760-9274
Mailing Address - Fax:
Practice Address - Street 1:1726 S BENTLEY AVE
Practice Address - Street 2:PH 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4347
Practice Address - Country:US
Practice Address - Phone:609-760-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA00774270207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00190201OtherRAILROAD
CAAZ97818BMedicare PIN
088493Medicare PIN
I23682Medicare UPIN