Individual
GOTTFRIED E KONECNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90024-6998
(310) 206-1214
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A124261
CA
207RH0003X
Hematology & Oncology Physician
Primary
A124261
CA
Other
Enumeration date
02/12/2007
Last updated
08/05/2019
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