Gibson, Douglas N.

Gibson, Douglas N. is an individual health care provider with primary practice located at 10666 N Torrey Pines Rd , La Jolla CA 92037-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gibson, Douglas N. can be contacted via phone (858) 554-8730.

Contact Information

Primary practice address
10666 N Torrey Pines Rd La Jolla CA 92037-1027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A69985 California

Profile Details

NPI number 1700838448
LBN Legal business name Gibson, Douglas N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 25th, 2009 - about 15 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 1700838448 NPPES
Other 00A699850 BLUE SHIELD OF CA
Other F900 BLUE SHIELD OF CA
Other P00393491 BLUE SHIELD OF CA
MEDICAID 00A699850 BLUE SHIELD OF CA

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