Gary Jordan Havens in Glendale - Specialist
Gary Jordan Havens - NPI 1497763999
Gary Jordan Havens is a Specialist in Glendale, California. Gary Jordan Havens practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Jordan Havens is 1497763999. The last update date is 2007-07-08.
Gary Jordan Havens's current location address is 607 N Central Ave, Glendale, California. You can contact this provider via phone number 8185516666 and fax number 8185516660. The mailing address for Gary Jordan Havens is 607 N Central Ave, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Jordan Havens |
|---|---|
| Address | 607 N Central Ave, Glendale, California |
| Phone Number | 8185516666 |
| Fax Number | 8185516660 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497763999 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 607 N Central Ave |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912031804 |
| Phone Number | 8185516666 |
| Fax Number | 8185516660 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G12325 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Jordan Havens?
The Gary Jordan Havens has been issued the NPI (National Provider Identifier) 1497763999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary Jordan Havens's facilities are situated?
The facilities of Gary Jordan Havens are physically located at the following address: 607 N Central Ave, Glendale, CA, 912031804.
What is the Gary Jordan Havens's area of specialization and corresponding taxonomy classification?
The Gary Jordan Havens's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Gary Jordan Havens receive its 1497763999?
The Gary Jordan Havens was issued its 1497763999 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Gary Jordan Havens most recently updated or refreshed?
The details pertaining to the Gary Jordan Havens, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.