Individual
DR. GERALD T GOSTANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NEWPORT CENTER DR STE 202A, NEWPORT BEACH, CA 92660-7680
(949) 640-4650
Mailing address
PO BOX 7985, NEWPORT BEACH, CA 92658-7985
(949) 640-4650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/23/2006
Last updated
06/10/2019
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