| Kerry N Gott Md Inc | |
|
255 E Bonita Ave Pomona CA 91767-1923 | |
| (909) 596-7733 | |
| (909) 450-0357 |
| Full Name | Kerry N Gott Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 E Bonita Ave, Pomona, California |
| Authorized Official Name and Position | Kerry Norman Gott (OWNER) |
| Authorized Official Contact | 9092685645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry N Gott Md Inc 6023 Hellman Ave Alta Loma CA 91737-2827 Ph: (909) 268-5645 | Kerry N Gott Md Inc 255 E Bonita Ave Pomona CA 91767-1923 Ph: (909) 596-7733 |
| NPI Number | 1306138706 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 2860665288 |
|---|---|
| Medicare Enrollment ID | O20111101000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306138706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G65566 (California) | Primary |
| Provider Name | Kerry N Gott |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013955186 PECOS PAC ID: 0749282689 Enrollment ID: I20070402000795 |
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