Goss, Gary Jay

Goss, Gary Jay is an individual health care provider with primary practice located at 5528 E La Palma Ave Suite 4-A, Anaheim CA 92807-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goss, Gary Jay can be contacted via phone (714) 970-0200.

Contact Information

Primary practice address
5528 E La Palma Ave Suite 4-A Anaheim CA 92807-2115
Phone: (714) 970-0200
Fax: (714) 970-0270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A36906 California

Profile Details

NPI number 1083659817
LBN Legal business name Goss, Gary Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 17th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083659817 NPPES
California MEDICAID 00A369060

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