MEDICARE: UNIVERSAL HOSPITALISTS GHALCHI PC

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	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1275298390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HOSPITALISTS GHALCHI PC

Provider Business Mailing Address
First Line	:	10430 WILSHIRE BLVD APT 803
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4653
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10430 WILSHIRE BLVD #803
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4653
Country	:	US
Telephone Number	:	818-613-6789
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. DANIEL GHALCHI
Credential	:	MD
Telephone Number	:	310-701-1516

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	11/03/2021

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