| David M. Gudeman, M.d., Inc. | |
|
2650 Jones Way Suite 27b Simi Valley CA 93065-1203 | |
| (805) 582-4995 | |
| Not Available |
| Full Name | David M. Gudeman, M.d., Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2650 Jones Way, Simi Valley, California |
| Authorized Official Name and Position | David Mark Gudeman (OWNER) |
| Authorized Official Contact | 8055824995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Gudeman, M.d., Inc. 2650 Jones Way Suite 27b Simi Valley CA 93065-1203 Ph: (805) 582-4995 | David M. Gudeman, M.d., Inc. 2650 Jones Way Suite 27b Simi Valley CA 93065-1203 Ph: (805) 582-4995 |
| NPI Number | 1528220704 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528220704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | G69799 (California) | Primary |
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