| Yaroslav A. Gofnung, M.d., Inc. | |
|
12660 Riverside Dr Suite 225 North Hollywood CA 91607-3429 | |
| (818) 487-0040 | |
| (818) 487-0050 |
| Full Name | Yaroslav A. Gofnung, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 12660 Riverside Dr, North Hollywood, California |
| Authorized Official Name and Position | Paula Martinez (BILLING/CREDENTIALING) |
| Authorized Official Contact | 8189088048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yaroslav A. Gofnung, M.d., Inc. 12660 Riverside Dr Suite 225 North Hollywood CA 91607-3429 Ph: (818) 487-0040 | Yaroslav A. Gofnung, M.d., Inc. 12660 Riverside Dr Suite 225 North Hollywood CA 91607-3429 Ph: (818) 487-0040 |
| NPI Number | 1013024876 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013024876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A81752 (California) | Primary |
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