Individual
GERALD P HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2636
(310) 505-1414
Mailing address
PO BOX 25114, SANTA ANA, CA 92799-5114
(714) 689-1560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A39477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A394771
—
CA
Enumeration date
06/16/2006
Last updated
07/09/2007
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