Geoffrey Gonick, MD | |
27401 Los Altos, 180, Mission Viejo, CA 92691-6316 | |
(949) 582-9624 | |
(949) 582-9624 |
Full Name | Geoffrey Gonick |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 27401 Los Altos, Mission Viejo, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558315556 | NPI | - | NPPES |
00G794800 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G79480 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Anesthesia Medical Associates Inc | 7012902216 | 49 |
Entity Name | Western Anesthesia Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497796320 PECOS PAC ID: 7012902216 Enrollment ID: O20040416001498 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey Gonick, MD 27401 Los Altos, 180, Mission Viejo, CA 92691-6316 Ph: (949) 582-9624 | Geoffrey Gonick, MD 27401 Los Altos, 180, Mission Viejo, CA 92691-6316 Ph: (949) 582-9624 |
Tod Henrichsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Dr. Timothy James Ebbert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
James Wickham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Eric Hsu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Jason Kwon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Shawn Bullock, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 | |
Steve Wong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 27401 Los Altos, Suite 180, Mission Viejo, CA 92691 Phone: 949-582-9624 Fax: 949-582-9626 |