EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS – NPI #1477103299
Clinic/Center

EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS is an AHC clinic located in SHERMAN OAKS, CA. NPPES has assigned the NPI number 1477103299 to EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS on September 13, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS” is a dba name, the actual legal business name for this organization is PEDIATRIC AND FAMILY MEDICAL CENTER. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Apr 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS below.

NPI Profile for
PEDIATRIC AND FAMILY MEDICAL CENTER

NPI Number
1477103299
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC AND FAMILY MEDICAL CENTER
Doing Business As (dba): EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS
Primary location
15477 VENTURA BLVD STE 100
SHERMAN OAKS, CA 91403-3046
Phone: (213) 747-5542 Fax:
Mailing address
1530 S OLIVE ST
LOS ANGELES, CA 90015-3023
Phone: (213) 747-5542 Fax:
Organization Subpart
Yes - EISNER HEALTH DERMATOLOGY AT SHERMAN OAKS is subpart of another organization.
Authorized Official
MONICA MCCARTHY
SR VP, COO & INTERIM-CEO
Phone: (213) 747-5542
Updated
Certification Date
Apr 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.