Healthcare Provider Details

I. General information

NPI: 1881415693
Provider Name (Legal Business Name): GARY CONTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 11/03/2024
Certification Date: 11/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7765 LEEDS ST
DOWNEY CA
90242-3489
US

IV. Provider business mailing address

7765 LEEDS ST
DOWNEY CA
90242
US

V. Phone/Fax

Practice location:
  • Phone: 844-804-1933
  • Fax:
Mailing address:
  • Phone: 844-804-1933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: