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 4 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