Aaa Urgent Care LLC

Organization Active NPI General Practice Physician · Panorama City, CA

NPI 1780988915 · NPPES record last updated Jan 3, 2011

Key facts

NPI
1780988915
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
A81752 (CA)
Legal business name
AAA URGENT CARE LLC
Practice address
14400 Roscoe Blvd
Suite D
Panorama City, CA 91402-3001
Phone
(818) 893-5819
Fax
(818) 830-8421
NPI assigned
Jan 3, 2011
Organization subpart
No

Authorized official

Name
Yaroslav S Gofnung, M.D.
Title
Ceo
Phone
(818) 893-5819

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aaa Urgent Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X A81752 CA
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RE0101X A81752
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X A81752 CA Yes

Addresses

Primary practice location

14400 Roscoe Blvd
Suite D
Panorama City, CA 91402-3001

Mailing address

14400 Roscoe Blvd
Suited
Panorama City, CA 91402-3001
Phone (818) 893-5819

Other providers in Panorama City, CA

All providers in Panorama City, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.