Gofnung, Yaroslav A

Gofnung, Yaroslav A is an sole proprietor health care provider with primary practice located at 12660 Riverside Dr Suite 225, North Hollywood CA 91607-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gofnung, Yaroslav A can be contacted via phone (818) 487-0040.

Contact Information

Primary practice address
12660 Riverside Dr Suite 225 North Hollywood CA 91607-3429
Phone: (818) 487-0040
Fax: (818) 487-0050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A81752 California

Profile Details

NPI number 1740224021
LBN Legal business name Gofnung, Yaroslav A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Sep 21st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740224021 NPPES
California MEDICAID 1740224021

Popular Providers