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KEITH L. GURNICK D.P.M. NPI 1891245619


NPI Information

NPI: 1891245619
Provider Name: KEITH L. GURNICK, D.P.M.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2080 CENTURY PARK E
SUITE 705
LOS ANGELES, CA
ZIP 90067
Phone: (310) 553-7691
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KEITH L. GURNICK, D.P.M. is a non pharmacy dispensing site in Los Angeles, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KEITH L. GURNICK, D.P.M. NPI is 1891245619. The provider is registered as an organization entity type.

The provider's business location address is:

2080 CENTURY PARK E
SUITE 705
LOS ANGELES, CA
ZIP 90067-001
Phone: (310) 553-7691
Fax: (310) 553-9542

The provider's authorized official is Keith Louis Gurnick .
The authorized official title is Owner and has the following contact phone number (310) 553-7691.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteE2615ACALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000E2615000OTHERCALIFORNIABLUE SHIELD
2T11404MEDICARE UPINCALIFORNIA
3P1737210OTHERCALIFORNIAOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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