Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E1983 | CA |
NPI | 1083742241 |
---|---|
Provider Name | Dr. Dennis R. Gumm |
First Address | Long Beach, CA 90807-3907 |
Second Address | Long Beach, CA 90807-1513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 20/08/2019 |