Gaynor, Jeffrey Michael

Gaynor, Jeffrey Michael is an individual health care provider with primary practice located at 1900 Sullivan Ave , Daly City CA 94015-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gaynor, Jeffrey Michael can be contacted via phone (650) 992-4000.

Contact Information

Primary practice address
1900 Sullivan Ave Daly City CA 94015-2200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C37015 California

Profile Details

NPI number 1164473716
LBN Legal business name Gaynor, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164473716 NPPES
California MEDICAID 00C370150

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