# KEITH L. GURNICK, D.P.M.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891245619
- **Authorized official:** DR. KEITH LOUIS GURNICK D.P.M. (OWNER)
- **Authorized official phone:** (310) 553-7691

## Contact information

- **Practice address:** 2080 CENTURY PARK E, SUITE 705, LOS ANGELES, CA 90067-2001
- **Practice address phone:** (310) 553-7691
- **Practice address fax:** (310) 553-9542
- **Mailing address:** 2080 CENTURY PARK E, SUITE 705, LOS ANGELES, CA 90067-2001
- **Mailing address phone:** (310) 553-7691
- **Mailing address fax:** (310) 553-9542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | E2615A | CA | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/04/2016