Individual
GERARD DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-7920
Mailing address
17009 JEANINE PL, GRANADA HILLS, CA 91344-1625
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
24515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
MEDICAL
CA
Enumeration date
09/21/2018
Last updated
09/21/2018
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