Gary Godorov, MD | |
1001 N Tustin Ave, Western Medical Center - Emergency Dept - Dr. Godorov, Santa Ana, CA 92705-3502 | |
(310) 463-7387 | |
Not Available |
Full Name | Gary Godorov |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1001 N Tustin Ave, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437197068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A78224 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Gary Godorov, MD 531 Main St, # 401, El Segundo, CA 90245-3006 Ph: (310) 463-7387 | Gary Godorov, MD 1001 N Tustin Ave, Western Medical Center - Emergency Dept - Dr. Godorov, Santa Ana, CA 92705-3502 Ph: (310) 463-7387 |
Scott Hardy, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2703 N Bristol St, Suite H-2, Santa Ana, CA 92706 Phone: 714-648-0335 | |
Dr. Ghalib Mohammad Wahidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 S Bristol St, Santa Ana, CA 92704 Phone: 949-422-0615 | |
Kerri Kraft, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 S Bristol St, Santa Ana, CA 92704 Phone: 714-754-5454 | |
Andrew J. So, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 W Macarthur Blvd Ste 600, Santa Ana, CA 92704 Phone: 949-216-3244 | |
Nguyen Khuu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Tustin Ave, Emergency Department, Santa Ana, CA 92705 Phone: 714-953-3331 | |
Gagandeep Grewal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Tustin Ave, Emergency Department, Santa Ana, CA 92705 Phone: 714-953-3500 | |
Dr. Anna I Cheh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Tustin Ave, Emergency Department, Santa Ana, CA 92705 Phone: 310-990-0400 |