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

LBN: Shota Gurtch, M.D., Inc. A Professional Corporation
Shota Gurtch, M.D., Inc. A Professional Corporation is an health care organization with primary practice located at 8875 La Mesa Blvd Ste C , La Mesa CA 91942-5434. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shota Gurtch, M.D., Inc. A Professional Corporation can be contacted via phone (619) 668-8100, or through Gurchumelidze, Shota via phone (858) 997-3161.

Contact Information

Primary practice address
8875 La Mesa Blvd Ste C La Mesa CA 91942-5434
Phone: (619) 668-8100
Fax: (619) 667-2688
Website:
Map and Directions
Authorized official contact:
Name: Gurchumelidze, Shota Doctor of Medicine (MD)
Phone: (858) 997-3161

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1154050904
LBN Legal business name Shota Gurtch, M.D., Inc. A Professional Corporation
DBA Doing business as
Authorized official Gurchumelidze, Shota Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2022
Last updated Aug 31st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers