Individual ProviderGuy H GottschalkFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1520 Nutmeg Pl, Suite 110, Costa Mesa, CA 92626-2501(714) 437-9763PECOS EnrollmentBased on the most recent information from CMS, provider Guy H Gottschalk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 24 days ago.Profile DetailsProvider ID1235228750Provider TypeIndividualFull NameGottschalk, Guy HTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/12/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1520 Nutmeg Pl, Suite 110, Costa Mesa, CA 92626-2501Phone(714) 437-9763Fax(714) 437-9764Mailing LocationMailing Address1520 Nutmeg Pl, Suite 110, Costa Mesa, CA 92626-2501Phone(714) 437-9763Fax(714) 437-9764Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseG31221California