Basic Information
| Provider Information | |||||||||
| NPI: | 1477789881 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GABRIEL E HUNT JR MD INC A CALIFORNIA PROFESSIONAL MEDICAL CO | ||||||||
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| OtherOrganizationName: | GABRIEL E. HUNT JR., M.D. A MEDICAL CORPORATION | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 444 S SAN VICENTE BLVD STE 800 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900484174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104239941 | ||||||||
| FaxNumber: | 3103226660 | ||||||||
| Practice Location | |||||||||
| Address1: | 444 SAN VICENTE BLVD., 8TH FLOOR | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 90048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104239941 | ||||||||
| FaxNumber: | 3104239941 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2009 | ||||||||
| LastUpdateDate: | 04/19/2019 | ||||||||
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| AuthorizedOfficialLastName: | HUNT | ||||||||
| AuthorizedOfficialFirstName: | GABRIEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3104239941 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.