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VICTOR GURA MD INC NPI 1417175134


NPI Information

NPI: 1417175134
Provider Name: VICTOR GURA MD, INC

Doing Business As: MEDIPACE MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9033 WILSHIRE BLVD
#502
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 550-6240
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VICTOR GURA MD, INC is a general practice in Beverly Hills, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VICTOR GURA MD, INC NPI is 1417175134. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medipace Medical Group.

The provider's business location address is:

9033 WILSHIRE BLVD
#502
BEVERLY HILLS, CA
ZIP 90211-837
Phone: (310) 550-6240
Fax: (310) 550-6282

The provider's authorized official is Mercedes Bin .
The authorized official title is Office Manager and has the following contact phone number (310) 550-6242.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes
2207R00000XInternal MedicineX
3207RN0300XInternal MedicineNephrologyX
4208100000XPhysical Medicine & RehabilitationX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CS8239OTHERCALIFORNIARAILROAD MEDICARE

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: 4/28/2024

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