Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A171197 | CA |
NPI | 1003270117 |
---|---|
Provider Name | Dr. Alexander Gertel |
First Address | Torrance, CA 90505-4767 |
Second Address | Torrance, CA 90505-4767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 01/07/2021 |