Provider Demographics
NPI:1215174503
Name:EPSTEIN, ALAN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEE
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USC KECK SCHOOL OF MEDICINE
Mailing Address - Street 2:2011 ZONAL AVENUE, HMR 205
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0001
Mailing Address - Country:US
Mailing Address - Phone:323-442-1172
Mailing Address - Fax:323-442-3049
Practice Address - Street 1:USC KECK SCHOOL OF MEDICINE
Practice Address - Street 2:2011 ZONAL AVENUE, HMR 205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0001
Practice Address - Country:US
Practice Address - Phone:323-442-1172
Practice Address - Fax:323-442-3049
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG55904207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology