MR. ISAAC GORBATY


Address: 18411 Clark Street, 206, Tarzana, CA 91356
Phone: 8187083143

MR. ISAAC GORBATY (NPI# 1477562718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477562718
Entity Type Individual
Full Name MR. ISAAC GORBATY
Credential M.D.
Practice Address 18411 Clark Street
206
Tarzana
CA 91356
Practice Telephone 8187083143
Practice Fax Number 8187083146
Mailing Telephone 8187083143
Mailing Fax Number 8187083146
Enumeration Date 2006-08-05
Last Update Date 2010-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
G33719 CA Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
G33719 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA G33719 05
CA MEDICAL LICENSE G33719 01
CA DEA NUMBER AG1235868 01

Office Location

Street Address 18411 CLARK STREET
206
City TARZANA
State CA
Zip Code 91356

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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1568658839 Alan Fozailoff Md Inc Internal Medicine 18370 Burbank Blvd, Suite 211, Tarzana, CA 91356-2804 2007-09-20
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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