MEDICARE: DR. ALEXANDER GERSHMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A53738	CA

General Provider Information

NPI Number	:	1124058219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER GERSHMAN MD

Provider Business Mailing Address
First Line	:	6404 WILSHIRE BLVD STE 701
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5509
Country	:	US
Telephone Number	:	310-623-1911
Fax Number	:	310-623-1922

Provider Business Practice Location Address
First Line	:	6404 WILSHIRE BLVD STE 701
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5509
Country	:	US
Telephone Number	:	310-623-1911
Fax Number	:	310-623-1922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/18/2025

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