Individual
GARY WILLIAM SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10780 SANTA MONICA BLVD STE 450, LOS ANGELES, CA 90025-7635
(310) 237-1070
(424) 447-0031
Mailing address
10780 SANTA MONICA BLVD STE 450, LOS ANGELES, CA 90025-7635
(310) 237-1070
(424) 447-0031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10957900
NJ
2084P0800X
Psychiatry Physician
G43707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G347070
—
CA
Enumeration date
08/25/2006
Last updated
04/06/2026
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