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Individual

DAVID AVRAM GANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11301 WILSHIRE BLVD (11G), LOS ANGELES, CA 90073-1003
(310) 268-4110
Mailing address
11301 WILSHIRE BLVD # 11G, LOS ANGELES, CA 90073-1003
(310) 268-4110

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A80247
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A802470
CA
Enumeration date
07/11/2006
Last updated
11/05/2014
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