Provider Demographics
NPI:1831384148
Name:B KURWA MD INC
Entity type:Organization
Organization Name:B KURWA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:BADRUDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-447-2966
Mailing Address - Street 1:7 W FOOTHILL BOULEVARD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2339
Mailing Address - Country:US
Mailing Address - Phone:626-447-2966
Mailing Address - Fax:626-355-6647
Practice Address - Street 1:7 WEST FOOTHILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006
Practice Address - Country:US
Practice Address - Phone:626-447-2966
Practice Address - Fax:626-355-6647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAW19040207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA28135Medicare UPIN