DR. MAURICE GOURDJI (NPI# 1699751586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699751586 |
| Entity Type | Individual |
| Full Name | DR. MAURICE GOURDJI |
| Credential | M.D. |
| Practice Address |
5525 Etiwanda Ave Suite 110 Tarzana CA 91356-3647 |
| Mailing Address |
5525 Etiwanda Ave Ste 110 Tarzana CA 91356-3642 |
| Practice Telephone | 8187086070 |
| Practice Fax Number | 8444065413 |
| Mailing Telephone | 8187086070 |
| Mailing Fax Number | 8444065413 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G443580 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 100002869 | 01 |
| Street Address |
5525 ETIWANDA AVE SUITE 110 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237833 | Michael D. Landman | Otolaryngology | 5525 Etiwanda Ave, Ste 312, Tarzana, CA 91356-6126 | 2005-06-28 |
| 1649663675 | Darryl J Ballin, Md, Inc | Internal Medicine | 5525 Etiwanda Ave, 224, Tarzana, CA 91356-3647 | 2015-03-16 |
| 1518359850 | Ent Group of Los Angeles | Otolaryngology | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2015-02-24 |
| 1457741076 | Graham Mouw, M.d., A Medical Corporation | Neurological Surgery | 5525 Etiwanda Ave, Suite 324, Tarzana, CA 91356-3647 | 2015-02-03 |
| 1346658200 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2014-07-23 |
| 1750795613 | South Valley Physician Group, Inc. | Internal Medicine | 5525 Etiwanda Ave, Suite 200, Tarzana, CA 91356-3647 | 2014-06-18 |
| 1285068700 | Leilah Lewin | Social Worker | 5525 Etiwanda Ave, 315, Tarzana, CA 91356-3647 | 2013-09-03 |
| 1629311840 | Michelle Susan Shukhman | Internal Medicine | 5525 Etiwanda Ave, Suite #320, Tarzana, CA 91356-3647 | 2013-04-05 |
| 1013259530 | David Hoenig Md Inc | Anesthesiology | 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356-3647 | 2013-03-22 |
| 1700125168 | Tanaz Kahen Md Inc | Obstetrics & Gynecology | 5525 Etiwanda Ave, Suite 209, Tarzana, CA 91356-3647 | 2013-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1295810323 | San Fernando Valley Gastroenterology Medical Group Inc | Internal Medicine | 18425 Burbank Blvd Ste 500, Tarzana, CA 91356-6691 | 2006-10-26 |
| 1184600074 | Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc | Internal Medicine | 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 | 2005-12-21 |
| 1700878428 | Neil D Fagen | Internal Medicine | 18411 Clark St Ste 204, Tarzana, CA 91356-3535 | 2005-08-18 |
| 1982696613 | Michael Madievsky | Internal Medicine | 5525 Etiwanda Ave Ste 110, Tarzana, CA 91356-3642 | 2005-08-18 |
| 1023311008 | Neil D. Fagen,m.d.,inc. | Internal Medicine | 18411 Clark St, 204, Tarzana, CA 91356-3535 | 2010-12-13 |
| 1437463957 | Marcos B Fleiderman M D Medical Corporation | Internal Medicine | 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 | 2010-07-27 |
| 1508006339 | Maurice Gourdji Md Inc | Internal Medicine | 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 | 2009-03-06 |
| 1902047749 | Lucien R Jacobs Md Inc | Internal Medicine | 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 | 2009-03-06 |
| 1558540294 | Michael Madievsky,m.d. | Internal Medicine | 18411 Clark St Ste 204, Tarzana, CA 91356-3535 | 2007-10-30 |
| 1144305244 | Lori Yep Kam | Internal Medicine | 18425 Burbank Blvd, Tarzana, CA 91356-2806 | 2006-10-26 |
| Find all providers in TARZANA | ||||
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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.