Gillis, Patricia Jean

Gillis, Patricia Jean is an individual health care provider with primary practice located at 18300 Roscoe Blvd , Northridge CA 91328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gillis, Patricia Jean can be contacted via phone (818) 885-8500.

Contact Information

Primary practice address
18300 Roscoe Blvd Northridge CA 91328
Phone: (818) 885-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A73899 California

Profile Details

NPI number 1922058288
LBN Legal business name Gillis, Patricia Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 12th, 2013 - about 11 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 1922058288 NPPES
California MEDICAID 00A738990

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