Gurnick, Keith Louis
Gurnick, Keith Louis is an sole proprietor health care provider with primary practice located at 2080 Century Park E Suite #705, Los Angeles CA 90067-2001. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Non-Pharmacy Dispensing Site. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Gurnick, Keith Louis can be contacted via phone (310) 553-7691.Contact Information
Primary practice address
2080 Century Park E Suite #705
Los Angeles CA 90067-2001
Phone: (310) 553-7691
Fax: (310) 553-9542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E2615 | California |
Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
NPI number | 1730129214 |
---|---|
LBN Legal business name | Gurnick, Keith Louis |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2006 |
Last updated | Dec 1st, 2016 - about 8 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 | 1730129214 | NPPES |
California | MEDICAID | 000E2615000 | |
California | Other | 000E2615000 | |
California | Other | P1737210 |
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