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NPI Code Detail

MEDICARE: MARK KURZMAN M.D.

MEDICARE: MARK KURZMAN M.D.
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
1207Q00000XFamily Medicine PhysicianA131481CA

General Provider Information

NPI Number : 1235430018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK KURZMAN M.D.
Provider Business Mailing Address
First Line : 5901 GREEN VALLEY CIR STE 405
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6971
Country : US
Telephone Number : 244-266-7474
Fax Number :
Provider Business Practice Location Address
First Line : 5901 GREEN VALLEY CIR STE 405
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-6971
Country : US
Telephone Number : 244-266-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2010
Last Update Date : 04/09/2024

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