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Individual

DR. KEITH LOUIS GURNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2080 CENTURY PARK E, SUITE #705, LOS ANGELES, CA 90067-2001
(310) 553-7691
(310) 553-9542
Mailing address
2080 CENTURY PARK E, SUITE #705, LOS ANGELES, CA 90067-2001
(310) 553-7691
(310) 553-9542

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2615
CA
332900000X
Non-Pharmacy Dispensing Site

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E2615000
BLUE CROSS
CA
05
000E2615000
CA
01
P1737210
OXFORD
CA
Enumeration date
06/07/2006
Last updated
12/01/2016
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