Organization
HARVEY GUTMAN, M.D., A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY L. GUTMAN M.D. (PRESIDENT)
(310) 440-3131
Entity
Organization
Contact information
Practice address
1328 22ND ST, SANTA MONICA, CA 90404-2032
(310) 829-8202
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C285670
—
CA
Enumeration date
08/21/2006
Last updated
02/10/2009
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