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General NPI Number Information
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NPI Number | 1336226489
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Entity Type | Organization
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Legal Business Name | YUZEF GUROVICH M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 815 E COLORADO ST # 220
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City | GLENDALE
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State | CA
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Zip | 91205-1200
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Country | US
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Telephone | 818-956-0500
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Fax | 818-956-8489
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Provider Business Mailing Address
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Address Line | 815 E. COLORADO ST # 220
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City | GLENDALE
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State | CA
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Zip | 91205-1298
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Country | US
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Telephone | 818-956-0500
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Fax | 818-956-8489
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | YUZEF GUROVICH
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Credential | M.D.
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Telephone | 818-956-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A41072
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License Number State | CA
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