Provider Demographics
NPI:1669667283
Name:GMT INC.
Entity Type:Organization
Organization Name:GMT INC.
Other - Org Name:ADVANCED ORTHOPEDIC PAIN MANAGEMENT & WELLNESS CENTER INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-642-0042
Mailing Address - Street 1:26895 ALISO CREEK RD
Mailing Address - Street 2:SUITE B34
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5301
Mailing Address - Country:US
Mailing Address - Phone:949-642-0042
Mailing Address - Fax:949-642-0043
Practice Address - Street 1:351 HOSPITAL RD STE 411
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3506
Practice Address - Country:US
Practice Address - Phone:949-642-0042
Practice Address - Fax:949-642-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7140350001OtherMEDICARE PTAN