Individual
DR. MICHAEL J GUREVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
39 CONGRESS ST, SUITE 201, PASADENA, CA 91105-3024
(626) 486-0187
Mailing address
10 CONGRESS ST STE 155, PASADENA, CA 91105-3045
(626) 486-0181
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G50403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G504030
—
CA
Enumeration date
06/02/2006
Last updated
06/26/2020
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