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Individual

DR. ARUN GOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 881-0800
(310) 423-8441
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A152047
CA
207R00000X
Internal Medicine Physician
Q6508
TX
208M00000X
Hospitalist Physician
Primary
A152047
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
358313001
MEDICAID SAIMS ROT
TX
01
358313002
MEDICAID SAIMS TRAVIS
TX
01
358313003
MEDICAID ARC TRAVIS
TX
01
358313004
MEDICAID ARC ROT
TX
01
503332YKXV
MEDICARE ARC TRAVIS
TX
01
503332YKXY
MEDICARE ARC ROT
TX
01
503332YLP1
MEDICARE SAIMS TRAVIS
TX
01
503332YLP2
MEDICARE SAIMS ROT
TX
Enumeration date
04/13/2010
Last updated
06/16/2022
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