Tekmyster, Gene

Tekmyster, Gene is an sole proprietor health care provider with primary practice located at 555 N Nash St Ste B , El Segundo CA 90245-2818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tekmyster, Gene can be contacted via phone (310) 421-9912.

Contact Information

Primary practice address
555 N Nash St Ste B El Segundo CA 90245-2818
Phone: (310) 421-9912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 052447 Connecticut
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 264035 New York
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 20A18060 California

Profile Details

NPI number 1316258304
LBN Legal business name Tekmyster, Gene
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Nov 27th, 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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