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Individual

DR. GENE TEKMYSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
555 N NASH ST STE B, EL SEGUNDO, CA 90245-2818
(310) 421-9912
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(310) 421-9912

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
264035
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
052447
CT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A18060
CA

Other

Enumeration date
06/24/2010
Last updated
11/27/2023
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