MEDICARE: GABRIEL J HALPERIN DPM INC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619194446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIEL J HALPERIN DPM INC

Provider Business Mailing Address
First Line	:	PO BOX 629
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-0629
Country	:	US
Telephone Number	:	323-164-6157
Fax Number	:	323-264-0099

Provider Business Practice Location Address
First Line	:	3616 E 1ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90063-2326
Country	:	US
Telephone Number	:	323-164-6157
Fax Number	:	323-264-0099

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GABRIEL J HALPERIN
Credential	:
Telephone Number	:	323-264-6157

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	01/18/2008

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