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NPI Code Detail

MEDICARE: DR. DENNIS R. GUMM DPM

MEDICARE: DR. DENNIS R. GUMM DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristE1983CA

General Provider Information

NPI Number : 1083742241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS R. GUMM DPM
Provider Business Mailing Address
First Line : 3505 LONG BEACH BLVD
Second Line : SUITE 2F
City : LONG BEACH
State : CA
Zip : 90807-3907
Country : US
Telephone Number : 310-378-5424
Fax Number :
Provider Business Practice Location Address
First Line : 4508A ATLANTIC AVE
Second Line : # A138
City : LONG BEACH
State : CA
Zip : 90807-1513
Country : US
Telephone Number : 310-378-5424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 08/20/2019

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