MEDICARE: GARY M DEUTSCH M.D.

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
1	207R00000X	Internal Medicine Physician	G38310	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	HD754Z	OTHER	CA	MEDICARE PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G383100	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932194289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY M DEUTSCH M.D.

Provider Business Mailing Address
First Line	:	243 MARCH ST
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-2511
Country	:	US
Telephone Number	:	805-525-7131
Fax Number	:	805-525-0041

Provider Business Practice Location Address
First Line	:	243 MARCH ST
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-2511
Country	:	US
Telephone Number	:	805-525-7131
Fax Number	:	805-525-0041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	09/03/2014

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