MEDICARE: GABRIEL JOSEF BOUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	A180495	CA

General Provider Information

NPI Number	:	1003375155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL JOSEF BOUZ

Provider Business Mailing Address
First Line	:	2025 ZONAL AVE # GNH3900
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-0146
Country	:	US
Telephone Number	:	323-409-7409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 ZONAL AVE # GNH3900
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90089-0146
Country	:	US
Telephone Number	:	323-409-7409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	08/20/2025

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