| Gelsey L Goodstein Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (323) 656-1202 | |
| Not Available |
| Full Name | Gelsey L Goodstein Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Gelsey L Goodstein (PRESIDENT) |
| Authorized Official Contact | 3233093859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gelsey L Goodstein Md Inc Po Box 1997 Beverly Hills CA 90213-1997 Ph: (323) 656-1202 | Gelsey L Goodstein Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (323) 656-1202 |
| NPI Number | 1649680117 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 6901022789 |
|---|---|
| Medicare Enrollment ID | O20140731001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649680117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gelsey L Goodstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790097442 PECOS PAC ID: 7012156474 Enrollment ID: I20130614000176 |
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