Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | G9840 | CA |
NPI | 1154676559 |
---|---|
Provider Name | Dr. Michael Stuart Gurvey |
First Address | Thousand Oaks, CA 91361-5322 |
Second Address | Thousand Oaks, CA 91361-5322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2012 |
Last Update Date | 21/07/2012 |