Organization
SANFORD H GAYNOR, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD H GAYNOR M.D. (PRESIDENT)
(310) 527-7355
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 115, GARDENA, CA 90247-4128
(310) 527-7355
(310) 527-2528
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 115, GARDENA, CA 90247-4128
(310) 527-7355
(310) 527-2528
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G6215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G62150
—
CA
Enumeration date
10/26/2007
Last updated
10/26/2007
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