KEITH L. GURNICK, D.P.M. (NPI# 1891245619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891245619 |
| Entity Type | Organization |
| Organization Name | KEITH L. GURNICK, D.P.M. |
| Practice Address |
2080 Century Park E Suite 705 Los Angeles CA 90067-2001 |
| Practice Telephone | 3105537691 |
| Practice Fax Number | 3105539542 |
| Mailing Telephone | 3105537691 |
| Mailing Fax Number | 3105539542 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | DR. KEITH LOUIS GURNICK (OWNER) |
| Authorized Official Telephone | 3105537691 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | E2615A | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 000E2615000 | 01 |
| CA | OXFORD | P1737210 | 01 |
| Street Address |
2080 CENTURY PARK E SUITE 705 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90067-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740908 | Judith Reichman | Obstetrics & Gynecology | 2080 Century Park E, 1009, Los Angeles, CA 90067-2001 | 2005-06-20 |
| 1093280265 | Mary Pardee | Naturopath | 2080 Century Park E, Los Angeles, CA 90067-2001 | 2018-10-03 |
| 1174062889 | Rita R Kumar Md Inc | Internal Medicine | 2080 Century Park E, Suite # 1805, Los Angeles, CA 90067-2001 | 2017-02-14 |
| 1184172314 | Jason B Wolfe | Physician Assistant | 2080 Century Park E, Suite 1806, Los Angeles, CA 90067-2001 | 2016-09-16 |
| 1730539792 | Roya Golshani Md A Professional Corporation | Internal Medicine | 2080 Century Park E, 1804, Los Angeles, CA 90067-2001 | 2016-06-20 |
| 1225482995 | Eti Nodel | Nurse Practitioner | 2080 Century Park E, Los Angeles, CA 90067-2001 | 2016-04-19 |
| 1649641374 | Beverly Hills Orthodontics | Specialist | 2080 Century Park E, 505, Los Angeles, CA 90067-2001 | 2015-10-07 |
| 1275911232 | Beverly Hills Specialty Care Surgery | Clinic/Center | 2080 Century Park E, Suite 703, Los Angeles, CA 90067-2001 | 2015-05-11 |
| 1922486067 | American Spine PC | Physical Medicine & Rehabilitation | 2080 Century Park E, 710, Los Angeles, CA 90067-2001 | 2015-05-08 |
| 1548650393 | Surgical Ally, Inc. | Surgery | 2080 Century Park E, Suite 1806, Los Angeles, CA 90067-2001 | 2015-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447028 | Shahrooz Saidian Dds Inc | Clinic/Center | 10231 Santa Monica Blvd Ste D, Los Angeles, CA 90067 | 2018-08-15 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1568860823 | Jaycee James | Naturopath | 2029 Century Park E, Los Angeles, CA 90067 | 2014-12-18 |
| 1437418803 | Ariella Aliza Morrow | Internal Medicine | 2080 Century Park E Ste 1605, Los Angeles, CA 90067 | 2012-05-04 |
| 1346524659 | Ben Shamoiel Chiropractic Inc | Chiropractor | 2080 Century Park East, Suite 503, Los Angeles, CA 90067 | 2011-10-05 |
| 1679709075 | Steven Kupferman Dmd Md Inc | Oral & Maxillofacial Surgery | 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 | 2009-06-01 |
| 1922214980 | Irwin Hoffman | Internal Medicine | 2298 Century Hill, Los Angeles, CA 90067 | 2007-05-15 |
| 1306068473 | David Hashimy Alexander | Obstetrics & Gynecology | 2080 Century Park E. #1206, Los Angeles, CA 90067 | 2007-05-02 |
| 1013131796 | Innovative Diagnostic Medical Group | Physical Medicine & Rehabilitation | 1801 Century Park East, Suite 1040, Los Angeles, CA 90067 | 2007-04-12 |
| Find all providers in zip 90067 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| 1932395092 | Glenville Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 1531 Glenville Dr, Los Angeles, CA 90035-3107 | 2007-09-21 |
| 1265441216 | Randy L Peters | Non-Pharmacy Dispensing Site | 3198 W 7th St Apt 318, Los Angeles, CA 90005-1659 | 2006-08-07 |
| 1770962946 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1711 W Temple St, Suite 4100, Los Angeles, CA 90026-5421 | 2015-05-21 |
| 1386021475 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 | 2015-04-28 |
| 1033501101 | Ais Medical Foods, Inc. | Non-Pharmacy Dispensing Site | 8631 W 3rd St, Suite 1145e, Los Angeles, CA 90048-5901 | 2015-02-26 |
| 1255749099 | Morningside Primary Care Medical Center Mc Inc A Nevada Corporation | Non-Pharmacy Dispensing Site | 617 W Manchester Ave, Los Angeles, CA 90044-5718 | 2014-07-24 |
| 1386058402 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 5655 E Beverly Blvd, Los Angeles, CA 90022-2803 | 2014-06-17 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| 1023428521 | Pacific Rejuvenation Medical, A Professional Corp. | Non-Pharmacy Dispensing Site | 6310 San Vicente Blvd, Suite 220, Los Angeles, CA 90048-5426 | 2014-05-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90067 |
Please comment or provide details below to improve the information on KEITH L. GURNICK, D.P.M..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.