Organization · NPI-2

Alexander Gaitanis, D.O., INC.

Internal Medicine, Medical Oncology · Beverly Hills, CA

NPI number1730611336
StatusActive
Last updated in NPPESApr 5, 2017

Details

NPI
1730611336
Entity type
Organization (NPI-2)
Legal business name
Alexander Gaitanis, D.O., INC.
Organization subpart
No
Enumeration date
Apr 2, 2017
Last updated
Apr 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RX0202X Internal Medicine, Medical Oncology10801CAYes

Practice location

8900 Wilshire Blvd
Beverly Hills, CA 90211-1958

Phone 877-320-5131 · Fax 310-432-8901

Mailing address

626 Longfellow Ave
Hermosa Beach, CA 90254-2245

Phone 310-918-6229

Authorized official

Alexander Gaitanis
President
3109186229

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