Physician Compare National (NPI:1881602290)

HEALTHCARE PROVIDER: ARSALAN GEULA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881602290
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062543093
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100708000241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEULA
	Individual professional last name
Provider First Name	ARSALAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1115 S SUNSET AVE
	Group Practice or individual's line 1 address
City	WEST COVINA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917903940
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6269624011
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050382
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CITRUS VALLEY MEDICAL CENTER-IC CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y