Gold, Michael Gary

Gold, Michael Gary is an individual health care provider with primary practice located at 2486 Ponderosa Dr Worth Suite D-211, Camarillo CA 93010-2367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gold, Michael Gary can be contacted via phone (805) 484-2818.

Contact Information

Primary practice address
2486 Ponderosa Dr Worth Suite D-211 Camarillo CA 93010-2367
Phone: (805) 484-2818
Fax: (805) 482-0028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G33451 California

Profile Details

NPI number 1215932058
LBN Legal business name Gold, Michael Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215932058 NPPES
California MEDICAID ZZZ75674Z

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