| Mark Thomas Gmoser, | |
|
7907 Cherrystone Ave, Panorama City, CA 91402-6105 | |
| (188) 210-0958 | |
| (818) 896-5069 |
| Full Name | Mark Thomas Gmoser |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 15 Years |
| Location | 7907 Cherrystone Ave, Panorama City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861662702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY30893 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Mark T Gmoser Psyd A Psychological Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750933214 PECOS PAC ID: 6002240165 Enrollment ID: O20191223002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Thomas Gmoser, Po Box 5306, Sherman Oaks, CA 91413-5306 Ph: (818) 821-0095 | Mark Thomas Gmoser, 7907 Cherrystone Ave, Panorama City, CA 91402-6105 Ph: (188) 210-0958 |
Dr. Lisa Berning Flores, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Kaiser Dept. Of Pain Management, Panorama City, CA 91402 Phone: 818-375-3619 Fax: 818-375-3668 |