Gustavo Marks, Md Inc - Medicare Primary Care in Canoga Park, CA

Gustavo Marks, Md Inc is a medicare enrolled primary clinic (Family Medicine) in Canoga Park, California. The current practice location for Gustavo Marks, Md Inc is 22030 Sherman Way #318, Canoga Park, California. For appointments, you can reach them via phone at (818) 999-5900. The mailing address for Gustavo Marks, Md Inc is Po Box 27206, Los Angeles, California and phone number is (213) 385-0675.

Gustavo Marks, Md Inc is licensed to practice in California (license number A54483). The clinic also participates in the medicare program and its NPI number is 1164770228. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 999-5900.

Contact Information

Gustavo Marks, Md Inc
22030 Sherman Way #318
Canoga Park
CA 91303-1886
(818) 999-5900
(818) 999-5901

Primary Care Clinic Profile

Full NameGustavo Marks, Md Inc
SpecialityFamily Medicine
Location22030 Sherman Way #318, Canoga Park, California
Authorized Official Name and PositionGustavo Marks (OWNER)
Authorized Official Contact8189995900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gustavo Marks, Md Inc
Po Box 27206
Los Angeles
CA 90027-0206

Ph: (213) 385-0675
Gustavo Marks, Md Inc
22030 Sherman Way #318
Canoga Park
CA 91303-1886

Ph: (818) 999-5900

NPI Details:

NPI Number1164770228
Provider Enumeration Date08/21/2012
Last Update Date08/21/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8921250911
Medicare Enrollment IDO20121221000295

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Medical Identifiers

Medical identifiers for Gustavo Marks, Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164770228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A54483 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gustavo Marks, Md Inc acts as a billing entity for following providers:
Provider NameGustavo J Marks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740373315
PECOS PAC ID: 2062408305
Enrollment ID: I20040422000811

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