Chester Walter Gottlieb
Hematology & Oncology
514 N Prospect Ave 4th Floor
Redondo Beach
, California 90277-3040
Chester Walter Gottlieb
Hematology & Oncology
514 N Prospect Ave 4th Floor
Redondo Beach
, California 90277-3040
(310) 750-3381
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Chester Walter Gottlieb
- 514 N Prospect Ave 4th Floor
- Redondo Beach, CA
- Zip : 90277-3040
- Fax : (310) 750-3381
- Phone : (310) 750-3300
Second Address
- Chester Walter Gottlieb
- 514 N Prospect Ave 4th Floor
- Redondo Beach, CA
- Zip : 90277-3040
- Fax : (310) 750-3381
- Phone : (310) 750-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | G6216 | CA |
National Provider Identifier
| NPI | 1033106026 |
|---|---|
| Provider Name | Chester Walter Gottlieb |
| First Address | Redondo Beach, CA 90277-3040 |
| Second Address | Redondo Beach, CA 90277-3040 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G62160 | BLUE SHIELD (01) | |
| A95369 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.