DR. INNA KESELMAN M.D. PH.D NPI 1003075037

NPI Information

NPI: 1003075037
Provider Name: DR. INNA KESELMAN, M.D., PH.D
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

PECOS Registration: Yes

Address:
300 MEDICAL PLAZA # B200
LOS ANGELES, CA
ZIP 90095
Phone: (310) 794-1195
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DR. Inna Keselman, M.D., PH.D is a neurology psychiatry neurology in Los Angeles, CA with 16 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Inna Keselman, M.D., PH.D NPI is 1003075037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:2008

The provider's business location address is:

300 MEDICAL PLAZA # B200
LOS ANGELES, CA
ZIP 90095
Phone: (310) 794-1195
Fax: (310) 794-7491

The NPI 1003075037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 1/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	A111883	CALIFORNIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	A111883	CALIFORNIA	Yes
3	282N00000X	General Acute Care Hospital		A111883	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003075037	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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