Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shota Gurtch, MD, Inc a Professional Corporation

Organization Primary Care Clinic/Center · NPI 1154050904

Shota Gurtch, MD, Inc a Professional Corporation is a Primary Care Clinic/Center in LA Mesa, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8875 La Mesa Blvd Ste C
LA Mesa, CA 91942-5434
Phone: (619) 668-8100
Fax: (619) 667-2688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1154050904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shota Gurchumelidze — Physician · (858) 997-3161
NPI enumeratedJune 7, 2022
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address8875 La Mesa Blvd Ste C, La Mesa, CA 91942-5434

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