Individual provider · Type 1 NPI

Gary Jordan Havens, MD

Specialist · Glendale, CA

NPI number 1497763999 Active

Practice location

607 N Central Ave, Suite #208
Glendale, CA 91203-1804

Call (818) 551-6666 Map

Fax (818) 551-6660

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG12325 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497763999

Gary Jordan Havens, MD's National Provider Identifier is 1497763999, issued on Aug 3, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, CA. The record was last updated on Jul 8, 2007.