DALE PROKUPEK MD INC (NPI# 1548569197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548569197 |
Entity Type | Organization |
Organization Name | DALE PROKUPEK MD INC |
Practice Address |
8641 Wilshire Blvd 100 Beverly Hills CA 90211-2900 |
Mailing Address |
1710 N Fairfax Ave Los Angeles CA 90046-2136 |
Practice Telephone | 3103606807 |
Practice Fax Number | 3103606683 |
Mailing Telephone | 3103606807 |
Mailing Fax Number | 3103606683 |
Enumeration Date | 2011-03-22 |
Last Update Date | 2011-03-22 |
Authorized Official Name | DR. DALE A PROKUPEK (OWNER) |
Authorized Official Telephone | 3103606807 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | G71035 | CA | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G71035 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | G71035A | 01 |
Street Address |
8641 WILSHIRE BLVD 100 |
City | BEVERLY HILLS |
State | CA |
Zip Code | 90211-2900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891768396 | Steven Nolan Brourman | Orthopaedic Surgery | 8641 Wilshire Blvd, # 205, Beverly Hills, CA 90211-2900 | 2006-02-07 |
1619344181 | Aaron Perlmutter Md Inc | Internal Medicine | 8641 Wilshire Blvd, Suite 100, Beverly Hills, CA 90211-2900 | 2015-08-31 |
1609272699 | Michelle Lee | Physician Assistant | 8641 Wilshire Blvd, Suite #215, Beverly Hills, CA 90211-2900 | 2014-11-18 |
1598003725 | David S. Hallegua, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 8641 Wilshire Blvd, Suite 301, Beverly Hills, CA 90211-2900 | 2013-01-23 |
1306199534 | Ronald S. Grusd, M.d., Inc. | Clinic/Center | 8641 Wilshire Blvd, 105, Beverly Hills, CA 90211-2900 | 2012-10-25 |
1285933952 | Jacobs & Liang Dental Group | Dentist | 8641 Wilshire Blvd, Suite 315, Beverly Hills, CA 90211-2900 | 2011-03-21 |
1518267392 | Stuart L Silverman Md A Medical Corporation | Clinic/Center | 8641 Wilshire Blvd, Suite 301, Beverly Hills, CA 90211-2900 | 2010-10-27 |
1225344203 | David S Silver Md, Inc | Non-Pharmacy Dispensing Site | 8641 Wilshire Blvd, Ste 301, Beverly Hills, CA 90211-2900 | 2010-08-27 |
1922314418 | Anthony C Griffin Md A Professional Medical Corporation | Specialist | 8641 Wilshire Blvd, Suite 305, Beverly Hills, CA 90211-2900 | 2010-08-23 |
1659606093 | Peter M. Newton, M.d. A Medical Corporation | Orthopaedic Surgery | 8641 Wilshire Blvd, # 205, Beverly Hills, CA 90211-2900 | 2009-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
Find all providers in zip 90211 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649756164 | Seper Dezfoli, Md, Inc | Internal Medicine | 150 N Robertson Blvd Ste 204, Beverly Hills, CA 90211-2144 | 2018-07-18 |
1215334677 | Mehrad Wosochi LLC | Internal Medicine | 8306 Wilshire Blvd # 539, Beverly Hills, CA 90211-2304 | 2014-12-01 |
1376573238 | Carey Strom M.d. Apc | Internal Medicine | 9090 Wilshire Blvd Ste 101, Beverly Hills, CA 90211 | 2006-07-04 |
1346754983 | Christine Lorraine Roth | Internal Medicine | 9033 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-1836 | 2017-11-17 |
1558729459 | Gastroenterology Institute of Southern California | Internal Medicine | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2016-02-05 |
1881068807 | Gastroenterology Hospitalist Associates Inc | Internal Medicine | 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 | 2015-11-16 |
1487044384 | Santa Monica Gi Medical Group | Internal Medicine | 200 N Robertson Blvd, Suite 100, Beverly Hills, CA 90211-1769 | 2015-01-29 |
1063759967 | Center for Gi Weight Loss | Internal Medicine | 9730 Wilshire Blvd, Suite 115, Beverly Hills, CA 90212-2022 | 2013-01-11 |
1427324516 | Lisa Lin | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2012-03-22 |
1912294604 | Elal Medical Inc A Professional Corporation | Internal Medicine | 9001 Wilshire Blvd Ste 106, Beverly Hills, CA 90211-1839 | 2011-07-01 |
Find all providers in BEVERLY HILLS |
City | BEVERLY HILLS |
Zip Code | 90211 |
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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.