Maurice Gourdji MD Inc & Lucien R Jacobs MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MAURICE GOURDJI MD INC & LUCIEN R JACOBS MD INC

Practice address

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806

Phone

(818) 708-6070

Fax

(818) 708-6075

NPI assigned

Dec 21, 2005

Last updated

Apr 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maurice Gourdji, M.D.NPI 1699751586

Title

General Partner

Phone

(818) 708-6070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurice Gourdji, M.D.

  • Gastroenterology Physician
  • Tarzana, CA
  • NPI 1699751586
  NPD (past) Authorized official
• Lucien Richard Jacobs, M.D.

  • Gastroenterology Physician
  • Tarzana, CA
  • NPI 1639155658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1184600074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6070",
            "fax_number": "818-708-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6070",
            "fax_number": "818-708-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE GOURDJI MD INC & LUCIEN R JACOBS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "GOURDJI",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "818-708-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP6258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irvin Richard Massoth, DDS, MSD
• Jacqueline Elizabeth Matian
• Brigitte Karin Matthies, PHD
• Kevin Michael Maunu, RADT
• Maurice Gourdji MD Inc
• Julia Mausert, PHARMACY TECH
• Melissa Martina Mautner, RADT
• Maxima Therapy and Speech Clinic, Inc.
• Lawrence A May, M.D.
• Marie Mayen-Cho

• Gastroenterology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.