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Marvin Gulley
NPI 1649782483 · on the registry since 2017 · sole proprietor
Practice
- Address
- 360 S Westlake Ave
Los Angeles, CA 90057 - Phone
- (213) 483-9201
- Fax
- (213) 382-0136
- Organisation at this address
- Social Model Recovery Systems, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 100
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California