Yaroslav A. Gofnung, M.d., Inc.

NPI 1013024876 - Internal Medicine - 207RE0101X

NPI Details
NPI 1013024876
Enumeration Date 08/25/2006
Last Updated 04/17/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAULA PAULA
Position BILLING/CREDENTIALING
Phone (818) 487-0040
Fax (818) 487-0050
Practice Location
12660 RIVERSIDE DR
SUITE 225
NORTH HOLLYWOOD CA, 91607-3429, US
Phone (818) 487-0040
Fax (818) 487-0050
Business Location
12660 RIVERSIDE DR
SUITE 225
NORTH HOLLYWOOD CA, 91607-3429, US
Phone (818) 487-0040
Fax (818) 487-0050
Toxanomy
Taxonomy Code 207RE0101X
License State California
License Number A81752
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According to our database, Yaroslav A. Gofnung, M.d., Inc. NPI is 1013024876, taxonomy code is 207RE0101X and license number is A81752, license state is located at California. Yaroslav A. Gofnung, M.d., Inc. physically located at 12660 Riverside Dr, North Hollywood CA, 91607-3429. NPI Number 1033115704 has the healthcare provider type.

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1013024876 NPI number is provided on an as is basis without warranty of any kind. 1013024876 is maintained by the National Plan & Provider Enumeration System. The contents of Yaroslav A. Gofnung, M.d., Inc. are for informational purposes only.