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Individual

DR. SANFORD H GAYNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
207R00000X
Internal Medicine Physician
G6215
CA
207RN0300X
Nephrology Physician
Primary
G6215
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G62150
CA
Enumeration date
12/22/2005
Last updated
10/12/2007
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