SHOTA GURCHUMELIDZE

LA MESA, CA
NPI1821284449
Professional NameSHOTA P GURTCH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A-101612)
Enumeration Date2007-09-18
Last Update Date2018-02-01
Business Address
DR. SHOTA GURCHUMELIDZE M.D.
8875 LA MESA BLVD STE C
LA MESA, CA 91942-5434
Phone number: 619-668-8100
Mailing Address
DR. SHOTA GURCHUMELIDZE M.D.
11848 MIRO CIR
SAN DIEGO, CA 92131-3323
Phone number: 858-997-3161