Individual
DR. GARY PEDNEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7257 W MANCHESTER AVE APT 3, LOS ANGELES, CA 90045-3517
(310) 410-8266
Mailing address
PO BOX 2952, BEVERLY HILLS, CA 90213-2952
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A48685
CA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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