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Organization
SHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION
Active
Organization
SHOTA GURTCH, M.D., INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOTA GURTCH M.D. (PHYSICIAN OWNER)
(858) 997-3161
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLD 1 STE 210, LA MESA, CA 91942-3020
(619) 461-3150
Mailing address
5565 GROSSMONT CENTER DR, BLD 1 STE 210, LA MESA, CA 91942-3020
(619) 461-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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