Gonick, Geoffrey
Gonick, Geoffrey is an individual health care provider with primary practice located at 27401 Los Altos 180, Mission Viejo CA 92691-6316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gonick, Geoffrey can be contacted via phone (949) 582-9624.Contact Information
Primary practice address
27401 Los Altos 180
Mission Viejo CA 92691-6316
Phone: (949) 582-9624
Fax: (949) 582-9624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G79480 | California |
Profile Details
| NPI number | 1558315556 |
|---|---|
| LBN Legal business name | Gonick, Geoffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jan 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558315556 | NPPES |
| California | MEDICAID | 00G794800 |
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