| Mark Takeshi Goya, PA-C | |
|
4502 E Avenue S, Palmdale, CA 93552-4480 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Mark Takeshi Goya |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4502 E Avenue S, Palmdale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457733966 | NPI | - | NPPES |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Richard M Butlig M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174787642 PECOS PAC ID: 1254472525 Enrollment ID: O20100108000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Takeshi Goya, PA-C 5500 Klump Ave Apt 506, North Hollywood, CA 91601-2537 Ph: (661) 703-7918 | Mark Takeshi Goya, PA-C 4502 E Avenue S, Palmdale, CA 93552-4480 Ph: (833) 574-2273 |
Mr. Brian Adam Schlesinger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1037 E. Palmdale Blvd., Palmdale, CA 93550 Phone: 661-273-0100 |
Anna Madorskaya, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 38636 Medical Center Dr Ste C, Palmdale, CA 93551 Phone: 661-273-0100 |
Liliana E Guadron-hernandez, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 38209 47th St E Ste C, Palmdale, CA 93552 Phone: 661-951-3100 Fax: 661-951-3195 |
Frederick O Galloway Ii, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 327 E Palmdale Blvd, Suite D, Palmdale, CA 93550 Phone: 661-283-5888 |
Chloe Kudirka, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 W Palmdale Blvd Ste A, Palmdale, CA 93551 Phone: 818-661-0443 |
Mr. Ramon Medina, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 38440 5th St W, Palmdale, CA 93551 Phone: 661-214-7718 Fax: 661-214-7719 |
Alyssa Anne Carney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 41250 12th St W Ste C, Palmdale, CA 93551 Phone: 323-328-8059 |