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NPI Code Detail

MEDICARE: MONICA M GORY

MEDICARE:   MONICA M GORY
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
1310400000XAssisted Living Facility6058566740CA

General Provider Information

NPI Number : 1023723525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA M GORY
Provider Business Mailing Address
First Line : 18230 ASTRO CT
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-3265
Country : US
Telephone Number : 323-557-5466
Fax Number :
Provider Business Practice Location Address
First Line : 18230 ASTRO CT
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-3265
Country : US
Telephone Number : 323-557-5466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/18/2023

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Directions to “ MONICA M GORY ” Practice Location

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