Provider Demographics
NPI:1003904830
Name:UZUN, GUVEN (MD)
Entity Type:Individual
Prefix:
First Name:GUVEN
Middle Name:
Last Name:UZUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12843
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90295
Mailing Address - Country:US
Mailing Address - Phone:310-888-2877
Mailing Address - Fax:310-205-9258
Practice Address - Street 1:415 N CRESCENT DR #220
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-888-2877
Practice Address - Fax:310-205-9258
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA729282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A72928A0Medicaid
CA00A72928A0Medicaid
H27823Medicare UPIN