=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972839454
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HB GUTSTEIN & CO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2009
-----------------------------------------------------
Last Update Date | 10/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10929 VANOWEN ST SUITE 143
-----------------------------------------------------
City | N HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91605-6426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-571-2817
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10929 VANOWEN ST SUITE 143
-----------------------------------------------------
City | N HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91605-6426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-571-2817
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | IMRE GAAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-571-2817
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------