David Gu, Do, A Professional Corporation | |
723 S Garfield Ave Suite 201 Alhambra CA 91801-4429 | |
(626) 282-3999 | |
(626) 282-8077 |
Full Name | David Gu, Do, A Professional Corporation |
---|---|
Speciality | Internal Medicine |
Location | 723 S Garfield Ave, Alhambra, California |
Authorized Official Name and Position | David Guoqing Gu (PHYSICIAN OWNER) |
Authorized Official Contact | 6262823999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David Gu, Do, A Professional Corporation 723 S Garfield Ave Suite 201 Alhambra CA 91801-4429 Ph: (626) 282-3999 | David Gu, Do, A Professional Corporation 723 S Garfield Ave Suite 201 Alhambra CA 91801-4429 Ph: (626) 282-3999 |
NPI Number | 1760551543 |
---|---|
Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/26/2013 |
Medicare PECOS PAC ID | 7517914997 |
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Medicare Enrollment ID | O20050407000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760551543 | NPI | - | NPPES |
00AX68510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A6851 (California) | Primary |
Provider Name | David Gu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225107006 PECOS PAC ID: 9335032556 Enrollment ID: I20050407000537 |
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