| Gustavo Marks | |
|
22201 Sherman Way Canoga Park CA 91303-1048 | |
| (818) 999-5900 | |
| Not Available |
| Full Name | Gustavo Marks |
|---|---|
| Speciality | Family Medicine |
| Location | 22201 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Gustavo Marks (OWNER) |
| Authorized Official Contact | 2138189995900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Marks Po Box 27206 Los Angeles CA 90027-0206 Ph: () - | Gustavo Marks 22201 Sherman Way Canoga Park CA 91303-1048 Ph: (818) 999-5900 |
| NPI Number | 1215071790 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215071790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54483 (California) | Primary |
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