| Dale Prokupek Md Inc | |
|
8641 Wilshire Blvd 100 Beverly Hills CA 90211-2900 | |
| (310) 360-6807 | |
| (310) 360-6683 |
| Full Name | Dale Prokupek Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8641 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Dale A Prokupek (OWNER) |
| Authorized Official Contact | 3103606807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Prokupek Md Inc 1710 N Fairfax Ave Los Angeles CA 90046-2136 Ph: (310) 360-6807 | Dale Prokupek Md Inc 8641 Wilshire Blvd 100 Beverly Hills CA 90211-2900 Ph: (310) 360-6807 |
| NPI Number | 1548569197 |
|---|---|
| Provider Enumeration Date | 03/22/2011 |
| Last Update Date | 03/22/2011 |
| Medicare PECOS PAC ID | 2668658204 |
|---|---|
| Medicare Enrollment ID | O20110517000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548569197 | NPI | - | NPPES |
| G71035A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G71035 (California) | Primary |
| 208D00000X | General Practice | G71035 (California) | Secondary |
| Provider Name | Dale Alan Prokupek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780725408 PECOS PAC ID: 5193901734 Enrollment ID: I20110517000436 |
Treatmedngo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211 Phone: 310-274-8080 | |
Refael Medical, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8200 Wilshire Blvd, Beverly Hills, CA 90211 Phone: 310-879-7167 Fax: 310-933-5688 | |
Michael D. Borookhim, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9301 Wilshire Blvd, Suite 602, Beverly Hills, CA 90210 Phone: 310-288-0881 | |
Ultrasound Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9001 Wilshire Blvd, Suite 106, Beverly Hills, CA 90211 Phone: 310-273-8885 | |
Kaiser Permanente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Arnaz Dr Apt 3, Beverly Hills, CA 90211 Phone: 213-215-5142 | |
Nancy P. Rahnama, M.d., A.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 N Rodeo Dr, Penthouse Number 1, Beverly Hills, CA 90210 Phone: 310-299-7373 Fax: 310-432-6647 | |
Laurence Seigler, M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 N Bedford Dr, Suite 308, Beverly Hills, CA 90210 Phone: 310-274-6158 Fax: 310-274-5709 |