Gje Inc. | |
5159 Via El Molino Newbury Park CA 91320-6995 | |
(646) 734-2585 | |
(805) 426-8649 |
Full Name | Gje Inc. |
---|---|
Speciality | Internal Medicine |
Location | 5159 Via El Molino, Newbury Park, California |
Authorized Official Name and Position | Garry Forkosh (SOLE OWNER) |
Authorized Official Contact | 6467342585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gje Inc. 5159 Via El Molino Newbury Park CA 91320-6995 Ph: (646) 734-2585 | Gje Inc. 5159 Via El Molino Newbury Park CA 91320-6995 Ph: (646) 734-2585 |
NPI Number | 1114426541 |
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Provider Enumeration Date | 02/12/2018 |
Last Update Date | 02/12/2018 |
Medicare PECOS PAC ID | 0547522831 |
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Medicare Enrollment ID | O20180327000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114426541 | NPI | - | NPPES |
A123093 | Other | CA | MEDICAL LICENSE |
1750519385 | Other | CA | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A123093 (California) | Primary |
Provider Name | Garry Forkosh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750519385 PECOS PAC ID: 9234285479 Enrollment ID: I20130531000209 |
Provider Name | Benjamin Milgrom |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962763938 PECOS PAC ID: 5395062426 Enrollment ID: I20170725001701 |
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