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NPI Code Detail

MEDICARE: AMY GOWAN MD

MEDICARE:   AMY  GOWAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA149549CA

General Provider Information

NPI Number : 1598109761
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY GOWAN MD
Provider Business Mailing Address
First Line : 8627 ATLANTIC AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3501
Country : US
Telephone Number : 888-499-9303
Fax Number :
Provider Business Practice Location Address
First Line : 8627 ATLANTIC AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-3501
Country : US
Telephone Number : 888-499-9303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2013
Last Update Date : 07/05/2023

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Directions to “ AMY GOWAN MD” Practice Location

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