Marco Gomez-garcia, M.d. Inc | |
1510 S Central Ave Suite 340 Glendale CA 91204-2500 | |
(818) 240-4031 | |
(818) 240-4035 |
Full Name | Marco Gomez-garcia, M.d. Inc |
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Speciality | Internal Medicine |
Location | 1510 S Central Ave, Glendale, California |
Authorized Official Name and Position | Marco A Gomez-garcia (PRESIDENT) |
Authorized Official Contact | 8182404031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marco Gomez-garcia, M.d. Inc 1510 S Central Ave Suite 340 Glendale CA 91204-2500 Ph: (818) 240-4031 | Marco Gomez-garcia, M.d. Inc 1510 S Central Ave Suite 340 Glendale CA 91204-2500 Ph: (818) 240-4031 |
NPI Number | 1477621431 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 02/27/2008 |
Medicare PECOS PAC ID | 7214928399 |
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Medicare Enrollment ID | O20040518001568 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477621431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A84263 (California) | Primary |
Provider Name | Marco A Gomezgarcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265444129 PECOS PAC ID: 8628976339 Enrollment ID: I20031219000328 |
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