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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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