MEDICARE: DR. SANFORD H GAYNOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G6215	CA
2	207RN0300X	Nephrology Physician	G6215	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780661405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANFORD H GAYNOR M.D.

Provider Business Mailing Address
First Line	:	1045 W REDONDO BEACH BLVD
Second Line	:	SUITE 115
City	:	GARDENA
State	:	CA
Zip	:	90247-4128
Country	:	US
Telephone Number	:	310-527-7355
Fax Number	:	310-527-2528

Provider Business Practice Location Address
First Line	:	1045 W REDONDO BEACH BLVD
Second Line	:	SUITE 115
City	:	GARDENA
State	:	CA
Zip	:	90247-4128
Country	:	US
Telephone Number	:	310-527-7355
Fax Number	:	310-527-2528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/12/2007

Similar Medicare Providers

1730545161 — DARA CAFIERO
Practice Location Address:

1045 W REDONDO BEACH BLVD
GARDENA, CA
90247-4128

Practice Phone: 213-865-2603
Practice Fax:

1073513925 — KIMBERLY JILL EDDINGS-REECE MD
Practice Location Address:

1045 W REDONDO BEACH BLVD , SUITE 240
GARDENA, CA
90247-4128

Practice Phone: 310-225-2825
Practice Fax:

1780634022 — GARY E FORD M.D.
Practice Location Address:

1045 W REDONDO BEACH BLVD , SUITE 575
GARDENA, CA
90247-4128

Practice Phone: 310-329-8633
Practice Fax: 310-329-8636

1932159225 — DR. SYLVIA OSORIO M.D.
Practice Location Address:

1045 W REDONDO BEACH BLVD
GARDENA, CA
90247-4128

Practice Phone: 310-352-4170
Practice Fax: 310-324-7956

1003851320 — SOON R CHUNG
Practice Location Address:

1045 W REDONDO BEACH BLVD , SUITE 300
GARDENA, CA
90247-4128

Practice Phone: 310-515-6570
Practice Fax: 310-515-6549

1861425282 — LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Practice Location Address:

1045 W REDONDO BEACH BLVD FL 3
GARDENA, CA
90247-4128

Practice Phone: 323-241-6730
Practice Fax:

Directions to “ DR. SANFORD H GAYNOR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.