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Dr. Keith Louis Gurnick, DPM
Non-Pharmacy Dispensing Site in Los Angeles, California
NPI 1730129214

Keith Louis Gurnick is a Non-Pharmacy Dispensing Site based in Los Angeles, CA. Keith Louis Gurnick practices in Los Angeles, CA and has the professional credentials of DPM. The NPI Number for Keith Louis Gurnick is 1730129214 and holds a License No. E2615 (California).

The current practice location address for Keith Louis Gurnick is 2080 Century Park E, Los Angeles, CA and can be reached out via phone at 310-553-7691 and via fax at 310-553-9542.

Location: 2080 Century Park E, Los Angeles, CA, 90067-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730129214
Provider Name
Keith Louis Gurnick
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2080 Century Park E, Los Angeles, CA, 90067-2001
Phone Number
310-553-7691
Fax Number
310-553-9542
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E2615000 05 CA
000E2615000 01 CA BLUE CROSS
P1737210 01 CA OXFORD
institution
Provider Business Practice Location Address Details
Address
2080 Century Park E
City
Los Angeles
State
California
Zip
90067-2001
Phone Number
310-553-7691
Fax Number
310-553-9542
person
Provider Business Mailing Address Details
Address
2080 Century Park E
City
Los Angeles
State
California
Zip
90067-2001
Phone Number
310-553-7691
Fax Number
310-553-9542
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
E2615 (California)
Definition
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.)
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