| Tim Gurtch Md, Inc | |
|
4276 54th Pl Ste A San Diego CA 92115-6011 | |
| (619) 265-1070 | |
| (619) 265-1454 |
| Full Name | Tim Gurtch Md, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4276 54th Pl Ste A, San Diego, California |
| Authorized Official Name and Position | Tim Platon Gurtch (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6194255228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Gurtch Md, Inc 4276 54th Pl Ste A San Diego CA 92115-6011 Ph: (619) 265-1070 | Tim Gurtch Md, Inc 4276 54th Pl Ste A San Diego CA 92115-6011 Ph: (619) 265-1070 |
| NPI Number | 1700083730 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700083730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C50806 (California) | Primary |
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