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Contact Information

DIMITRY B GOUFMAN, MD
302 WEST LAVETA AVE.
SUITE 201
ORANGE, CA92866
 Phone: 714-835-4404
 Fax: 714-532-6563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DIMITRY B GOUFMAN · (Male)

NPI # 1104824101
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 11/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C52758
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL - (Acute Care)
    1100 WEST STEWART DR
    ORANGE, CA 92868
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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