Gibbon, Gary W.
Gibbon, Gary W. is an sole proprietor health care provider with primary practice located at 2222 Santa Monica Blvd Ste 201 , Santa Monica CA 90404-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Gibbon, Gary W. can be contacted via phone (310) 453-4090.Contact Information
Primary practice address
2222 Santa Monica Blvd Ste 201
Santa Monica CA 90404-2306
Phone: (310) 453-4090
Fax: (310) 935-3038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A41221 | California |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A41221 | California |
Profile Details
NPI number | 1568484293 |
---|---|
LBN Legal business name | Gibbon, Gary W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2006 |
Last updated | Jan 20th, 2022 - about 2 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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