Healthcare Provider Details

I. General information

NPI: 1104825751
Provider Name (Legal Business Name): DAVID YALE GELMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2005
Last Update Date: 01/03/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7715 LEXINGTON AVENUE
WEST HOLLYWOOD CA
90046
US

IV. Provider business mailing address

7715 LEXINGTON AVENUE
WEST HOLLYWOOD CA
90046
US

V. Phone/Fax

Practice location:
  • Phone: 917-519-0576
  • Fax:
Mailing address:
  • Phone: 917-519-0576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC53583
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License Number216969
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number216969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: