Raphael I Gunner is a Clinical in Los Angeles, California. Raphael I Gunner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raphael I Gunner is 1619993326. The last update date is 2007-07-08.
Raphael I Gunner's current location address is 1644 Colby Ave Apt 6, Los Angeles, California. You can contact this provider via phone number 3105838552 and fax number 3109419124. The mailing address for Raphael I Gunner is 1644 Colby Ave Apt 6, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raphael I Gunner |
|---|---|
| Address | 1644 Colby Ave Apt 6, Los Angeles, California |
| Phone Number | 3105838552 |
| Fax Number | 3109419124 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1619993326 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1644 Colby Ave Apt 6 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900253051 |
| Phone Number | 3105838552 |
| Fax Number | 3109419124 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY19173 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Raphael I Gunner by the Centers for Medicare & Medicaid Services?
The Raphael I Gunner has been assigned the NPI (National Provider Identifier) 1619993326 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Raphael I Gunner's physical address?
The Raphael I Gunner is physically located at 1644 Colby Ave Apt 6, in the city of Los Angeles, CA, with the postal code 900253051.
What is Raphael I Gunner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Raphael I Gunner is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Raphael I Gunner receive the assignment of its 1619993326 from the Centers for Medicare & Medicaid Services?
The Raphael I Gunner was issued its 1619993326 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date was the information regarding Raphael I Gunner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Raphael I Gunner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.