Gisi, Richard Mountain

Gisi, Richard Mountain is an sole proprietor health care provider with primary practice located at 1115 S Sunset Ave Administration, West Covina CA 91790-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gisi, Richard Mountain can be contacted via phone (626) 813-7803.

Contact Information

Primary practice address
1115 S Sunset Ave Administration West Covina CA 91790-3940
Phone: (626) 813-7803
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A30446 California

Profile Details

NPI number 1942495296
LBN Legal business name Gisi, Richard Mountain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 18 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 1942495296 NPPES
California MEDICAID 00A304460

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