Organization
HARVEY GUTMAN M.D. A MEDICAL CORPORATION
Active
Organization
HARVEY GUTMAN M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY LEONARD GUTMAN M.D. (PRESIDENT)
(310) 319-8700
Entity
Organization
Contact information
Practice address
2232 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2312
(310) 453-8911
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C285670
BLUE SHIELD
CA
05
—
00C285670
—
CA
Enumeration date
08/05/2006
Last updated
02/10/2009
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