| Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc | |
|
18425 Burbank Blvd Suite 500 Tarzana CA 91356-2806 | |
| (818) 708-6070 | |
| (818) 708-6075 |
| Full Name | Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 18425 Burbank Blvd, Tarzana, California |
| Authorized Official Name and Position | Maurice Gourdji (GENERAL PARTNER) |
| Authorized Official Contact | 8187086070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc 18425 Burbank Blvd Suite 500 Tarzana CA 91356-2806 Ph: (818) 708-6070 | Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc 18425 Burbank Blvd Suite 500 Tarzana CA 91356-2806 Ph: (818) 708-6070 |
| NPI Number | 1184600074 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 04/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184600074 | NPI | - | NPPES |
| CP6258 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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