Gerald T Gostanian Md Inc

NPI 1093084881 - Clinic/Center - 261QM2500X

NPI Details
NPI 1093084881
Enumeration Date 12/22/2011
Last Updated 12/22/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GERALD GERALD
Position PHYSICIAN
Phone (949) 640-4650
Fax
Practice Location
400 NEWPORT CENTER DR STE 202A
NEWPORT BEACH CA, 92660-7680, US
Phone (949) 640-4650
Fax
Business Location
400 NEWPORT CENTER DR STE 202A
NEWPORT BEACH CA, 92660-7680, US
Phone (949) 640-4650
Fax
Toxanomy
Taxonomy Code 261QM2500X
License State California
License Number A22986
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According to our database, Gerald T Gostanian Md Inc NPI is 1093084881, taxonomy code is 261QM2500X and license number is A22986, license state is located at California. Gerald T Gostanian Md Inc physically located at 400 Newport Center Dr Ste 202a, Newport Beach CA, 92660-7680. NPI Number 1033115704 has the healthcare provider type.

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1093084881 NPI number is provided on an as is basis without warranty of any kind. 1093084881 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald T Gostanian Md Inc are for informational purposes only.