Provider Demographics
NPI:1073817979
Name:STEVEN E. GAMMER, M.D., INC.
Entity Type:Organization
Organization Name:STEVEN E. GAMMER, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-431-8554
Mailing Address - Street 1:500 PACIFIC COAST HWY
Mailing Address - Street 2:STE 212
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-5993
Mailing Address - Country:US
Mailing Address - Phone:562-431-8554
Mailing Address - Fax:562-596-7764
Practice Address - Street 1:500 PACIFIC COAST HWY
Practice Address - Street 2:STE 212
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5993
Practice Address - Country:US
Practice Address - Phone:562-431-8554
Practice Address - Fax:562-596-7764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty