Dr Marta Fajardo Gorelik, MD - Pediatrics in San Juan Bautista, CA

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Dr Marta Fajardo Gorelik, MD is a Pediatrics physician based in San Juan Bautista, California. Dr Marta Fajardo Gorelik is licensed to practice in California (license number G77143) and her current practice location is 12 Ahwahnee Street, San Juan Bautista, California. She can be reached at her office (for appointments etc.) via phone at (831) 623-4913.

NPI number for Dr Marta Fajardo Gorelik is 1124200126 and her current mailing address is Po Box 1386, San Juan Bautista, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124200126.

Contact Information

Dr Marta Fajardo Gorelik, MD
12 Ahwahnee Street,
San Juan Bautista, CA 95045-1386
(831) 623-4913
Not Available

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Physician's Profile

Full NameDr Marta Fajardo Gorelik
GenderFemale
SpecialityPediatrics
Location12 Ahwahnee Street, San Juan Bautista, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124200126
  • Provider Enumeration Date: 11/30/2007
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Marta Fajardo Gorelik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124200126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G77143 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marta Fajardo Gorelik is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marta Fajardo Gorelik, MD
Po Box 1386,
San Juan Bautista, CA 95045-1386

Ph: (831) 623-4913		Dr Marta Fajardo Gorelik, MD
12 Ahwahnee Street,
San Juan Bautista, CA 95045-1386

Ph: (831) 623-4913

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Pediatrics Doctors in San Juan Bautista, CA


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