DALE PROKUPEK MD INC
Osteopathic Medicine at Wilshire Blvd, Beverly Hills, CA

License number
California G71035
Category
Osteopathic Medicine
Type
Gastroenterology
License number
California G71035
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. DALE A PROKUPEK M.D.
Title: OWNER
Phone: (310) 360-6807
Address
Address 2
8641 Wilshire Blvd, Beverly Hills, CA 90211
1710 N Fairfax Ave, Los Angeles, CA 90046
National Provider ID: 1548569197
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DALE A PROKUPEK M.D. INC

Beverly Hills, CA  -  Los Angeles, CA

Registration:
Sep 9, 1998
Addresses:
8641 Wilshire Blvd #100, Beverly Hills, CA 90211 (Physical)
10866 Wilshire Blvd, Los Angeles, CA 90024
State ID:
C2119516
Business type:
Articles of Incorporation
President:
Dale A. Prokupek (President)
Agent:
Dale A Prokupek,Beverly Hills, CA 90211 (Physical)

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