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Individual

DR. LANCE ARNOLD GENTILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2424 WILSHIRE BLVD, SANTA MONICA, CA 90403-5806
(310) 828-4530
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G35905
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G359050
CA
Enumeration date
07/03/2006
Last updated
07/21/2022
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