Ganz, David Avram
Ganz, David Avram is an individual health care provider with primary practice located at 11301 Wilshire Blvd (11G) , Los Angeles CA 90073-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Ganz, David Avram can be contacted via phone (310) 268-4110.Contact Information
Primary practice address
11301 Wilshire Blvd (11G)
Los Angeles CA 90073-1003
Phone: (310) 268-4110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A80247 | California |
Profile Details
| NPI number | 1265467864 |
|---|---|
| LBN Legal business name | Ganz, David Avram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Nov 5th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265467864 | NPPES |
| California | MEDICAID | 00A802470 |
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