Most Relevant Information
Provider Data
| NPI Number: | 1003076845 |
| Provider Name: | GARY PEDNEAULT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | A48685 |
Most Important Dates
| Enumeration Date: | 06/16/2008 |
| Last Updated: | 06/16/2008 |
Provider Practice Location
7257 W MANCHESTER AVE APT 3
LOS ANGELES
CA
900453517
Practice Location Phone/Fax
| Phone: | 3104108266 |
| Fax: |
Provider Mailing Location
PO BOX 2952
BEVERLY HILLS
CA
902132952
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Psychiatry EMR