1093039372 NPI number — MICHAEL D. GILL MD INC

Table of content: (NPI 1093039372)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093039372 NPI number — MICHAEL D. GILL MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MICHAEL D. GILL MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093039372
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1025 E. OCEAN AVE,
Provider Second Line Business Mailing Address:
STE A
Provider Business Mailing Address City Name:
LOMPOC
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93436-7088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-735-7621
Provider Business Mailing Address Fax Number:
805-736-5378

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1025 E. OCEAN AVE
Provider Second Line Business Practice Location Address:
STE. A
Provider Business Practice Location Address City Name:
LOMPOC
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93436-7088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-735-7621
Provider Business Practice Location Address Fax Number:
805-736-5378
Provider Enumeration Date:
03/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
GILL
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
DENNIS
Authorized Official Title or Position:
MD, OWNER
Authorized Official Telephone Number:
805-735-7621

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  G54515 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G54515 . This is a "LICENSE#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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