Provider Demographics
NPI:1407865256
Name:GARY SUGARMAN MD AND JEFFREY HELFENSTEIN MD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:GARY SUGARMAN MD AND JEFFREY HELFENSTEIN MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-276-2379
Mailing Address - Street 1:436 N ROXBURY DR
Mailing Address - Street 2:STE 222
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5026
Mailing Address - Country:US
Mailing Address - Phone:310-276-2379
Mailing Address - Fax:
Practice Address - Street 1:436 N ROXBURY DR
Practice Address - Street 2:STE 222
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5026
Practice Address - Country:US
Practice Address - Phone:310-276-2379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty