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Dale Prokupek Md Inc
General Practice Physician in Beverly Hills, California
NPI 1548569197

Dale Prokupek Md Inc is a General Practice Physician based in Los Angeles, CA. Dale Prokupek Md Inc practices in Beverly Hills, CA. The NPI Number for Dale Prokupek Md Inc is 1548569197 and holds a License No. G71035 (California).

The current practice location address for Dale Prokupek Md Inc is 8641 Wilshire Blvd, Beverly Hills, CA and can be reached out via phone at 310-360-6807 and via fax at 310-360-6683.

Location: 8641 Wilshire Blvd, Beverly Hills, CA, 90046-2136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548569197
Provider Name
Dale Prokupek Md Inc
Credential
Provider Entity Type
Organization
Address
8641 Wilshire Blvd, Beverly Hills, CA, 90046-2136
Phone Number
310-360-6807
Fax Number
310-360-6683
Provider Enumeration Date
03/22/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G71035A 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
8641 Wilshire Blvd
City
Beverly Hills
State
California
Zip
90211-2900
Phone Number
310-360-6807
Fax Number
310-360-6683
person
Provider Business Mailing Address Details
Address
8641 Wilshire Blvd
City
Beverly Hills
State
California
Zip
90211-2900
Phone Number
310-360-6807
Fax Number
310-360-6683
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
G71035 (California)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G71035 (California)
Definition
Definition to come...
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