PAUL LENIN GOTTLIEB M.D NPI 1619937463

NPI Information

NPI: 1619937463
Provider Name: PAUL LENIN GOTTLIEB, M.D
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6620 COYLE AVE
# 301
CARMICHAEL, CA
ZIP 95608
Phone: (916) 961-2514
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Paul Lenin Gottlieb, M.D is a specialist in Carmichael, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Paul Lenin Gottlieb, M.D NPI is 1619937463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6620 COYLE AVE
# 301
CARMICHAEL, CA
ZIP 95608-333
Phone: (916) 961-2514
Fax: (916) 961-0297

The enumeration date for this NPI number is 3/24/2006 and was last updated on 1/12/2012.

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	208800000X	Urology		A26739	CALIFORNIA	No
2	174400000X	Specialist		A26739	CALIFORNIA	Yes

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	340001130	OTHER	CALIFORNIA	RAILROAD MEDICARE
2	00A267390	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	00A267390	MEDICAID	CALIFORNIA
4	A87086	MEDICARE UPIN	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: 5/5/2024

NPI Synchronization or Removal

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