CBKG Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CBKG MEDICAL CLINIC INC

Practice address

12511 Oxnard St
North Hollywood, CA 91606-4458

Phone

(818) 732-7300

Fax

(818) 732-7302

NPI assigned

Jul 20, 2017

Last updated

Jul 21, 2022By 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

Yuzef Gurovich, M. D,

Title

President

Phone

(818) 732-7300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790208890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "818-732-7300",
            "fax_number": "818-732-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064458",
            "telephone_number": "818-732-7300",
            "fax_number": "818-732-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBKG MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUROVICH",
        "authorized_official_first_name": "YUZEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-732-7300",
        "authorized_official_credential": "M. D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rigoberto Catalan
• Stephanie Abigail Catalan
• Sheila Marie Cavalet, SHEILA CAVALET, R.N.
• Sydney Cavanaugh-Pellow
• Ava Cazares
• Peter Lincoln Ceccotti, D.D.S.
• Valerie Ceja
• Celestial Care Hospice
• Muriel Centeno
• Centerpiece Marketing Inc. (MTK Management)

• Internal Medicine Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.