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NPI Code Detail

MEDICARE: WILLIAM KURBAN MD

MEDICARE:   WILLIAM  KURBAN  MD
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
1207R00000XInternal Medicine PhysicianA153798CA
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA153798CA

General Provider Information

NPI Number : 1134385271
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM KURBAN MD
Provider Business Mailing Address
First Line : PO BOX 3129
Second Line :
City : TORRANCE
State : CA
Zip : 90510-3129
Country : US
Telephone Number : 310-792-3914
Fax Number : 855-898-4055
Provider Business Practice Location Address
First Line : 210 S GRAND AVE STE 224
Second Line :
City : GLENDORA
State : CA
Zip : 91741-4273
Country : US
Telephone Number : 626-335-8094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 09/01/2022

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