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Organization
YAROSLAV A. GOFNUNG, M.D., INC.
Active
Organization
YAROSLAV A. GOFNUNG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MARTINEZ (BILLING/CREDENTIALING)
(818) 908-8048
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 225, NORTH HOLLYWOOD, CA 91607-3429
(818) 487-0040
(818) 487-0050
Mailing address
12660 RIVERSIDE DR, SUITE 225, NORTH HOLLYWOOD, CA 91607-3429
(818) 487-0040
(818) 487-0050
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A81752
CA
Other
Enumeration date
08/25/2006
Last updated
06/21/2018
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