| Ushakumar Gogineni, D.o. - A Professional Corporation | |
|
13220 Rose St Cerritos CA 90703-8644 | |
| (562) 900-4930 | |
| Not Available |
| Full Name | Ushakumar Gogineni, D.o. - A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 13220 Rose St, Cerritos, California |
| Authorized Official Name and Position | Ushakumar Gogineni (PRESIDENT) |
| Authorized Official Contact | 5629004930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ushakumar Gogineni, D.o. - A Professional Corporation 13220 Rose St Cerritos CA 90703-8644 Ph: (562) 900-4930 | Ushakumar Gogineni, D.o. - A Professional Corporation 13220 Rose St Cerritos CA 90703-8644 Ph: (562) 900-4930 |
| NPI Number | 1821217662 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821217662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9287 (California) | Primary |
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