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NPI Code Detail

MEDICARE: DAVID GHODS DO

MEDICARE:   DAVID  GHODS  DO
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
1208D00000XGeneral Practice Physician20A16662CA

General Provider Information

NPI Number : 1992234199
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GHODS DO
Provider Business Mailing Address
First Line : 955 CARRILLO DR STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5475
Country : US
Telephone Number : 424-258-0124
Fax Number :
Provider Business Practice Location Address
First Line : 955 CARRILLO DR STE 300
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5475
Country : US
Telephone Number : 424-258-0124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 04/06/2026

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Directions to “ DAVID GHODS DO” Practice Location

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