Organization
GOSTA W IWASIUK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BORREGO (OFFICE MANAGER)
(805) 648-2227
Entity
Organization
Contact information
Practice address
2605 LOMA VISTA RD, VENTURA, CA 93003-1548
(805) 648-2227
(805) 648-6706
Mailing address
2605 LOMA VISTA RD, VENTURA, CA 93003-1548
(805) 648-2227
(805) 648-6706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A22839
CA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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