GUSTAVO MARKS

CANOGA PARK, CA
NPI1215071790
Entity TypeOrganization
Authorized ContactGUSTAVO MARKS
Owner
213818-999-5900
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A54483)
Enumeration Date2007-02-16
Last Update Date2020-08-22
Business Address
GUSTAVO MARKS
22201 SHERMAN WAY
CANOGA PARK, CA 91303-1048
Phone number: 818-999-5900
Mailing Address
GUSTAVO MARKS
PO BOX 27206
LOS ANGELES, CA 90027-0206
Phone number:
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