Basic Information
Provider Information
NPI: 1124480124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PINNEY
FirstName: JAMES
MiddleName: RICHARDSON
NamePrefix:  
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 757 WESTWOOD PLZ
Address2: SUITE 7501
City: LOS ANGELES
State: CA
PostalCode: 900958358
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 757 WESTWOOD PLZ
Address2: SUITE 7501
City: LOS ANGELES
State: CA
PostalCode: 900958358
CountryCode: US
TelephoneNumber: 3108257375
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2016
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XA152620CAY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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