| Karun Gogna Md Inc | |
|
415 W Route 66 Ste 202 Glendora CA 91740-4335 | |
| (626) 963-4467 | |
| (626) 963-9543 |
| Full Name | Karun Gogna Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 415 W Route 66 Ste 202, Glendora, California |
| Authorized Official Name and Position | Karun Gogna (OWNER) |
| Authorized Official Contact | 6269634467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karun Gogna Md Inc 415 W Route 66 Ste 202 Glendora CA 91740-4335 Ph: (626) 963-4467 | Karun Gogna Md Inc 415 W Route 66 Ste 202 Glendora CA 91740-4335 Ph: (626) 963-4467 |
| NPI Number | 1689297798 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Certification Date | 05/22/2020 |
| Medicare PECOS PAC ID | 9234553710 |
|---|---|
| Medicare Enrollment ID | O20200716001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689297798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Karun Gogna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508131590 PECOS PAC ID: 9830513316 Enrollment ID: I20200716002033 |
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