Organization
VICTOR GURA MD, INC
Active
Other names
MEDIPACE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES BIN (OFFICE MANAGER)
(310) 550-6242
Entity
Organization
Contact information
Practice address
9033 WILSHIRE BLVD, #502, BEVERLY HILLS, CA 90211-1837
(310) 550-6240
(310) 550-6282
Mailing address
9033 WILSHIRE BLVD, #502, BEVERLY HILLS, CA 90211-1837
(310) 550-6240
(310) 550-6282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS8239
RAILROAD MEDICARE
CA
Enumeration date
04/20/2007
Last updated
09/11/2025
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