Basic Information
| Provider Information | |||||||||
| NPI: | 1578597761 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GARY FURMAN, M.D., INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8635 W 3RD ST | ||||||||
| Address2: | STE# 795W | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900486101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104238350 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8635 W 3RD ST | ||||||||
| Address2: | STE# 795W | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900486101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104238350 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SRIDHARAN | ||||||||
| AuthorizedOfficialFirstName: | PAM | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3106591654 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A29364 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.