Organization · Type 2 NPI

Shota Gurtch, M.d., Inc. A Professional Corporation

Primary Care Clinic/Center · La Mesa, CA

NPI number 1154050904 Active

Practice location

8875 La Mesa Blvd Ste C
La Mesa, CA 91942-5434

Fax (619) 667-2688

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1154050904

Shota Gurtch, M.d., Inc. A Professional Corporation's National Provider Identifier is 1154050904, issued on Jun 7, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in La Mesa, CA. The record was last updated on Aug 31, 2023.