Provider Demographics
NPI:1235131343
Name:PINDERSKI, ERIC J (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:PINDERSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:777 FLOWER ST
Mailing Address - Street 2:STE A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-3000
Mailing Address - Country:US
Mailing Address - Phone:818-637-2000
Mailing Address - Fax:818-242-8761
Practice Address - Street 1:12660 RIVERSIDE DR
Practice Address - Street 2:STE 310
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-3431
Practice Address - Country:US
Practice Address - Phone:818-755-0391
Practice Address - Fax:818-753-8165
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2011-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA62042207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A620420Medicaid
CA00A620420Medicaid
CAWA62042CMedicare PIN