Gary M Tearston Md A Medical Corp

NPI 1457477523 - Specialist - 174400000X

NPI Details
NPI 1457477523
Enumeration Date 03/21/2007
Last Updated 03/11/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY M GARY
Position PRESIDENT
Phone (310) 659-5502
Fax (310) 659-7639
Practice Location
2122 CENTURY PARK LN
UNIT 207
LOS ANGELES CA, 90067-3304, US
Phone (310) 659-5502
Fax (310) 659-7639
Business Location
PO BOX 18587
BEVERLY HILLS CA, 90209-4587, US
Phone (310) 659-5502
Fax (310) 659-7639
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G15838
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According to our database, Gary M Tearston Md A Medical Corp NPI is 1457477523, taxonomy code is 174400000X and license number is G15838, license state is located at California. Gary M Tearston Md A Medical Corp physically located at 2122 Century Park Ln, Los Angeles CA, 90067-3304. NPI Number 1033115704 has the healthcare provider type.

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1457477523 NPI number is provided on an as is basis without warranty of any kind. 1457477523 is maintained by the National Plan & Provider Enumeration System. The contents of Gary M Tearston Md A Medical Corp are for informational purposes only.