Organization
CBKG MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUZEF GUROVICH M. D, (PRESIDENT)
(818) 732-7300
Entity
Organization
Contact information
Practice address
12511 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4458
(818) 732-7300
(818) 732-7302
Mailing address
12511 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4458
(818) 732-7300
(818) 732-7302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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