| Alex Gold, Md, A Medical Corporation | |
|
2021 Santa Monica Blvd Suite 440-e Santa Monica CA 90404-2208 | |
| (310) 453-1386 | |
| (310) 453-4786 |
| Full Name | Alex Gold, Md, A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2021 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Alex Gold (DIRECTOR/CEO) |
| Authorized Official Contact | 3104531386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Gold, Md, A Medical Corporation 2021 Santa Monica Blvd Suite 440-e Santa Monica CA 90404-2208 Ph: (310) 453-1386 | Alex Gold, Md, A Medical Corporation 2021 Santa Monica Blvd Suite 440-e Santa Monica CA 90404-2208 Ph: (310) 453-1386 |
| NPI Number | 1396917548 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/07/2009 |
| Medicare PECOS PAC ID | 4789728031 |
|---|---|
| Medicare Enrollment ID | O20100224000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396917548 | NPI | - | NPPES |
| 1114924792 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A89939 (California) | Primary |
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