Provider Demographics
NPI:1932321270
Name:GOCKEN, DENIZ J (MD)
Entity Type:Individual
Prefix:DR
First Name:DENIZ
Middle Name:J
Last Name:GOCKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11589 WANNACUT PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3733
Mailing Address - Country:US
Mailing Address - Phone:818-243-9999
Mailing Address - Fax:818-243-9012
Practice Address - Street 1:11589 WANNACUT PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3733
Practice Address - Country:US
Practice Address - Phone:818-243-9999
Practice Address - Fax:818-243-9012
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0758722086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG13004Medicare UPIN
CAG13004Medicare UPIN