Gustavo Virgen Gonzalez, MD | |
1600 San Fernando Rd, San Fernando, CA 91340-3115 | |
(818) 896-0531 | |
Not Available |
Full Name | Gustavo Virgen Gonzalez |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1600 San Fernando Rd, San Fernando, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295997815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A96103 (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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Gustavo Virgen Gonzalez, MD 11038 Camarillo St Unit 7, Toluca Lake, CA 91602-3542 Ph: (818) 523-4079 | Gustavo Virgen Gonzalez, MD 1600 San Fernando Rd, San Fernando, CA 91340-3115 Ph: (818) 896-0531 |
Mansour Raji, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 San Fernando Rd., San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826 | |
Dr. Margaret Pei-ju Wang Natarajan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086 | |
Hadi Rahnamoon, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pico St, San Fernando Health Center, San Fernando, CA 91340 Phone: 818-837-6969 |