Healthcare Provider Details

I. General information

NPI: 1255434890
Provider Name (Legal Business Name): BRUCE GEWERTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD.
LOS ANGELES CA
90048-1865
US

IV. Provider business mailing address

PO BOX 512717
LOS ANGELES CA
90051-0717
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5884
  • Fax: 310-423-0231
Mailing address:
  • Phone: 310-423-5884
  • Fax: 310-423-0231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberG87711
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: