Prokupek, Dale Alan

Prokupek, Dale Alan is an sole proprietor health care provider with primary practice located at 8641 Wilshire Blvd Suite 100, Beverly Hills CA 90211-2900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Prokupek, Dale Alan can be contacted via phone (310) 360-6807.

Contact Information

Primary practice address
8641 Wilshire Blvd Suite 100 Beverly Hills CA 90211-2900
Phone: (310) 360-6807
Fax: (310) 360-6683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G71035 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G71035 California

Profile Details

NPI number 1780725408
LBN Legal business name Prokupek, Dale Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Aug 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780725408 NPPES
California Other 1548569197 GROUP NPI

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