| Ariel Gavino M.d. A Medical Corporation | |
|
8065 Webb Ave Ste A North Hollywood CA 91605-1505 | |
| (818) 860-4330 | |
| (818) 860-4331 |
| Full Name | Ariel Gavino M.d. A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 8065 Webb Ave Ste A, North Hollywood, California |
| Authorized Official Name and Position | Ariel Gavino (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188604330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariel Gavino M.d. A Medical Corporation 8065 Webb Ave Ste A North Hollywood CA 91605-1505 Ph: (818) 860-4330 | Ariel Gavino M.d. A Medical Corporation 8065 Webb Ave Ste A North Hollywood CA 91605-1505 Ph: (818) 860-4330 |
| NPI Number | 1164200739 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Medicare PECOS PAC ID | 2365898525 |
|---|---|
| Medicare Enrollment ID | O20231024001932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164200739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ariel M Gavino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659531994 PECOS PAC ID: 8921169004 Enrollment ID: I20140827002829 |
| Provider Name | Fernando D Palacios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629383534 PECOS PAC ID: 3375796162 Enrollment ID: I20161205002343 |
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