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Gerald T Gostanian Md Inc
Medical Specialty Clinic/Center in Newport Beach, California
NPI 1093084881

Gerald T Gostanian Md Inc is a Medical Specialty Clinic/Center based in Newport Beach, CA and is specialized in Medical Specialty. Gerald T Gostanian Md Inc practices in Newport Beach, CA. The NPI Number for Gerald T Gostanian Md Inc is 1093084881 and holds a License No. A22986 (California).

The current practice location address for Gerald T Gostanian Md Inc is 400 Newport Center Dr Ste 202A, Newport Beach, CA and can be reached out via phone at 949-640-4650.

Location: 400 Newport Center Dr Ste 202A, Newport Beach, CA, 92660-7680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093084881
Provider Name
Gerald T Gostanian Md Inc
Credential
Provider Entity Type
Organization
Address
400 Newport Center Dr Ste 202A, Newport Beach, CA, 92660-7680
Phone Number
949-640-4650
Fax Number
Provider Enumeration Date
12/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A22986 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
400 Newport Center Dr Ste 202A
City
Newport Beach
State
California
Zip
92660-7680
Phone Number
949-640-4650
Fax Number
person
Provider Business Mailing Address Details
Address
400 Newport Center Dr Ste 202A
City
Newport Beach
State
California
Zip
92660-7680
Phone Number
949-640-4650
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A22986 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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