# AAA URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780988915
- **Authorized official:** YAROSLAV S GOFNUNG M.D. (CEO)
- **Authorized official phone:** (818) 893-5819

## Contact information

- **Practice address:** 14400 ROSCOE BLVD, SUITE D, PANORAMA CITY, CA 91402-3001
- **Practice address phone:** (818) 893-5819
- **Practice address fax:** (818) 830-8421
- **Mailing address:** 14400 ROSCOE BLVD, SUITED, PANORAMA CITY, CA 91402-3001
- **Mailing address phone:** (818) 893-5819
- **Mailing address fax:** (818) 830-8421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A81752 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A81752 | — | — |
| 208D00000X | General Practice Physician | A81752 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011
