Gellerman, Douglas Reid

Gellerman, Douglas Reid is an sole proprietor health care provider with primary practice located at 7320 Woodlake Ave Suite 190, West Hills CA 91307-1468. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gellerman, Douglas Reid can be contacted via phone (818) 883-0112.

Contact Information

Primary practice address
7320 Woodlake Ave Suite 190 West Hills CA 91307-1468
Phone: (818) 883-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G42777 California

Profile Details

NPI number 1639181530
LBN Legal business name Gellerman, Douglas Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Nov 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639181530 NPPES
California MEDICAID 00G427770

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