Provider Demographics
NPI:1386601268
Name:SCHAYE, GORDON F (MD)
Entity type:Individual
Prefix:DR
First Name:GORDON
Middle Name:F
Last Name:SCHAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:58 PORTUGUESE BEND RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90274-5070
Mailing Address - Country:US
Mailing Address - Phone:310-541-3757
Mailing Address - Fax:310-541-1867
Practice Address - Street 1:20911 EARL ST STE 340
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4355
Practice Address - Country:US
Practice Address - Phone:310-540-2111
Practice Address - Fax:310-944-9295
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG14544207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW10420Medicare ID - Type Unspecified
CAA392775Medicare UPIN