Organization
MEDIPACE BEVERLY HILLS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR GURA MD (OWNER)
(310) 550-6240
Entity
Organization
Contact information
Practice address
50 N LA CIENEGA BLVD, SUITE 310, BEVERLY HILLS, CA 90211-2227
(310) 550-6240
(310) 289-0142
Mailing address
50 N LA CIENEGA BLVD, SUITE 310, BEVERLY HILLS, CA 90211-2227
(310) 550-6240
(310) 289-0142
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A34872
CA
Other
Enumeration date
02/12/2015
Last updated
03/03/2015
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