Gorniowsky, Michael

Gorniowsky, Michael is an individual health care provider with primary practice located at 4644 Lincoln Blvd Suite 428, Marina Del Rey CA 90292-6313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gorniowsky, Michael can be contacted via phone (310) 306-1888.

Contact Information

Primary practice address
4644 Lincoln Blvd Suite 428 Marina Del Rey CA 90292-6313
Phone: (310) 306-1888
Fax: (310) 577-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G29723 California

Profile Details

NPI number 1073567442
LBN Legal business name Gorniowsky, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2023 - about last year

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 1073567442 NPPES
California MEDICAID 00G279230

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