John Martin Gossen, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
Details
- NPI
- 1043969652
- Entity type
- Individual (NPI-1)
- Name
- John Martin Gossen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 21, 2022
- Last updated
- Jul 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERVENTIONAL RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Phone 720-208-6093
Mailing address
4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Phone 720-208-6093
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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