Provider Demographics
NPI:1194538264
Name:GAP POST-ACUTE CARE SERVICES
Entity type:Organization
Organization Name:GAP POST-ACUTE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBRIAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-667-6488
Mailing Address - Street 1:PO BOX 241040
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-1046
Mailing Address - Country:US
Mailing Address - Phone:310-597-9705
Mailing Address - Fax:
Practice Address - Street 1:11750 WETHERBY LN
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90077-1348
Practice Address - Country:US
Practice Address - Phone:310-597-9705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty