Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G32400 | CA |
N | 207VG0400X | Gynecologist | G32400 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G32400 | CA |
N | 207VX0000X | Obstetrician | G32400 | CA |
NPI | 1316017346 |
---|---|
Provider Name | Seymour F Gorelick |
First Address | Thousand Oaks, CA 91360-1848 |
Second Address | Thousand Oaks, CA 91360-1848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 27/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G324000 | (05) | CA |
A45138 | (02) | CA |