Mccaughan, Gary Phillip

Mccaughan, Gary Phillip is an sole proprietor health care provider with primary practice located at 11500 Brookshire Ave , Downey CA 90241-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mccaughan, Gary Phillip can be contacted via phone (562) 904-5000.

Contact Information

Primary practice address
11500 Brookshire Ave Downey CA 90241-4917
Fax: (562) 904-5140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G47746 California

Profile Details

NPI number 1366456816
LBN Legal business name Mccaughan, Gary Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366456816 NPPES
California Other 00G477460 BLUE SHIELD
California MEDICAID 00G477460 BLUE SHIELD

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