Individual
DR. PRYCE TIFFANY GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365C, LOS ANGELES, CA 90095-0001
(310) 481-4242
(310) 319-3877
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A147971
CA
207RI0200X
Infectious Disease Physician
Primary
A147971
CA
Other
Enumeration date
06/06/2014
Last updated
09/10/2019
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