DALE PROKUPEK MD INC


Address: 8641 Wilshire Blvd, 100, Beverly Hills, CA 90211-2900
Phone: 3103606807

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN G71035A 01

Office Location

Street Address 8641 WILSHIRE BLVD
100
City BEVERLY HILLS
State CA
Zip Code 90211-2900

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BEVERLY HILLS
Zip Code 90211

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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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