Individual
DR. DALE ALAN PROKUPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8641 WILSHIRE BLVD, SUITE 100, BEVERLY HILLS, CA 90211-2900
(310) 360-6807
(310) 360-6683
Mailing address
8641 WILSHIRE BLVD, STE 100, BEVERLY HILLS, CA 90211-2919
(310) 360-6807
(310) 360-6683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G71035
CA
207RG0100X
Gastroenterology Physician
Primary
G71035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548569197
GROUP NPI
CA
Enumeration date
02/08/2007
Last updated
08/25/2017
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