Conrad, Gary

Conrad, Gary is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Suite 215, Pasadena CA 91105-2613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Conrad, Gary can be contacted via phone (626) 793-4139.

Contact Information

Primary practice address
625 S Fair Oaks Ave Suite 215 Pasadena CA 91105-2613
Phone: (626) 793-4139
Fax: (626) 304-8280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X A58771 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C37034 California

Profile Details

NPI number 1669424271
LBN Legal business name Conrad, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669424271 NPPES
California MEDICAID 00C370340
California Other W2223

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