institution
Keith L. Gurnick, D.p.m.
Non-Pharmacy Dispensing Site in Los Angeles, California
NPI 1891245619

Keith L. Gurnick, D.p.m. is a Non-Pharmacy Dispensing Site based in Los Angeles, CA. Keith L. Gurnick, D.p.m. practices in Los Angeles, CA. The NPI Number for Keith L. Gurnick, D.p.m. is 1891245619 and holds a License No. E2615A (California).

The current practice location address for Keith L. Gurnick, D.p.m. 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
institution
Provider Profile Details
NPI Number
1891245619
Provider Name
Keith L. Gurnick, D.p.m.
Credential
Provider Entity Type
Organization
Address
2080 Century Park E, Los Angeles, CA, 90067-2001
Phone Number
310-553-7691
Fax Number
310-553-9542
Provider Enumeration Date
10/04/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000E2615000 01 CA BLUE SHIELD
P1737210 01 CA OXFORD
institution
Provider Business Practice Location Address Details
Address
2080 Century Park E
City
State
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
State
Zip
90067-2001
Phone Number
310-553-7691
Fax Number
310-553-9542
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
E2615A (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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