Dale Prokupek Md Inc

LBN: Dale Prokupek Md Inc
Dale Prokupek Md Inc is an health care organization with primary practice located at 8641 Wilshire Blvd 100, Beverly Hills CA 90211-2900. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Dale Prokupek Md Inc can be contacted via phone (310) 360-6807, or through Prokupek, Dale A via phone (310) 360-6807.

Contact Information

Primary practice address
8641 Wilshire Blvd 100 Beverly Hills CA 90211-2900
Phone: (310) 360-6807
Fax: (310) 360-6683
Website:
Map and Directions
Authorized official contact:
Name: Prokupek, Dale A Doctor of Medicine (MD)
Phone: (310) 360-6807

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G71035 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G71035 California

Profile Details

NPI number 1548569197
LBN Legal business name Dale Prokupek Md Inc
DBA Doing business as
Authorized official Prokupek, Dale A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2011
Last updated Mar 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548569197 NPPES
California Other G71035A MEDICARE PTAN

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