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NPI Code Detail

MEDICARE: DAVID A. POUGATSCH, DPM, INC.

MEDICARE: DAVID A. POUGATSCH, DPM, INC.
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
1213ES0103XFoot & Ankle Surgery PodiatristE4977CA

General Provider Information

NPI Number : 1912373952
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID A. POUGATSCH, DPM, INC.
Provider Business Mailing Address
First Line : 9663 SANTA MONICA BLVD # 682
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-4303
Country : US
Telephone Number : 818-922-2244
Fax Number :
Provider Business Practice Location Address
First Line : 250 N ROBERTSON BLVD STE 106
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1767
Country : US
Telephone Number : 310-919-4179
Fax Number : 877-239-0994
Authorized Official
Title or Position : CEO
Name : DR. DAVID POUGATSCH
Credential :
Telephone Number : 818-922-2244
Provider Enumeration Date : 08/13/2015
Last Update Date : 08/10/2023

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Directions to “DAVID A. POUGATSCH, DPM, INC. ” Practice Location

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