Mark Thomas Gmoser
Psychologist, Clinical in Panorama City, CA. Individual provider (NPI-1).
NPI number1861662702
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1861662702
- Entity type
- Individual (NPI-1)
- Name
- Mark Thomas Gmoser
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2008
- Last updated
- Aug 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY30893 | CA | Yes |
Practice location
7907 Cherrystone AvePanorama City, CA 91402-6105
Phone 188-210-0958 · Fax 818-896-5069
Mailing address
Po Box 5306Sherman Oaks, CA 91413-5306
Phone 818-821-0095
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