Gaynor, Sanford H

Gaynor, Sanford H is an sole proprietor health care provider with primary practice located at 1045 W Redondo Beach Blvd Suite 115, Gardena CA 90247-4128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gaynor, Sanford H can be contacted via phone (310) 527-7355.

Contact Information

Primary practice address
1045 W Redondo Beach Blvd Suite 115 Gardena CA 90247-4128
Phone: (310) 527-7355
Fax: (310) 527-2528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G6215 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G6215 California

Profile Details

NPI number 1780661405
LBN Legal business name Gaynor, Sanford H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Oct 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780661405 NPPES
California MEDICAID 00G62150

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