Gaynor, Sanford H
Gaynor, Sanford H is an sole proprietor health care provider with primary practice located at 1045 W Redondo Beach Blvd Suite 115, Gardena CA 90247-4128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gaynor, Sanford H can be contacted via phone (310) 527-7355.Contact Information
Primary practice address
1045 W Redondo Beach Blvd Suite 115
Gardena CA 90247-4128
Phone: (310) 527-7355
Fax: (310) 527-2528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G6215 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G6215 | California |
Profile Details
| NPI number | 1780661405 |
|---|---|
| LBN Legal business name | Gaynor, Sanford H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780661405 | NPPES |
| California | MEDICAID | 00G62150 |
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