Gunnar Roll is a Medical in Santa Cruz, California. Gunnar Roll practices all healthcare services and medical treatments related to Medical. The NPI Number for Gunnar Roll is 1710917018. The last update date is 2008-12-03.
Gunnar Roll's current location address is 4355 Gladys Ave, Santa Cruz, California. You can contact this provider via phone number 8314629585. The mailing address for Gunnar Roll is 4355 Gladys Ave, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gunnar Roll |
|---|---|
| Address | 4355 Gladys Ave, Santa Cruz, California |
| Phone Number | 8314629585 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1710917018 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | 4355 Gladys Ave |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950624509 |
| Phone Number | 8314629585 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA12560 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA16537 | CA | -- |
Post Comment/ Review Below
What is the Gunnar Roll's unique identification number?
The Gunnar Roll has been assigned the NPI (National Provider Identifier) Number 1710917018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gunnar Roll?
The Gunnar Roll is situated at 4355 Gladys Ave, in the city of Santa Cruz, state of CA, with the zip code 950624509.
What is the Gunnar Roll's area of specialization and corresponding taxonomy classification?
The Gunnar Roll's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did the Gunnar Roll receive its 1710917018?
The Gunnar Roll was issued its 1710917018 on 2006-07-03, which is the date when the organization was assigned this unique identifier.
As of what date were the Gunnar Roll's details last updated?
The information pertaining to the Gunnar Roll, including its address, specialty, and other details, was most recently updated on 2008-12-03.