Individual
DR. COURTNEY ALEXIS ORYNICH GILLENWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, IRD 112 LAC USC MEDICAL CENTER PEDIATRICS, LOS ANGELES, CA 90033-1029
(323) 226-5700
Mailing address
2032 OCEAN PARK BLVD, SANTA MONICA, CA 90405-4914
(561) 445-1404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A131183
CA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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