Individual
GREGORY GORRAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(323) 409-5555
Mailing address
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
189205
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
05/16/2024
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