# GERARD C. ARCILLA MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285971028
- **Authorized official:** DR. GERARD C ARCILLA MD (OWNER)
- **Authorized official phone:** (619) 857-8831

## Contact information

- **Practice address:** 2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
- **Practice address phone:** (619) 857-8831
- **Practice address fax:** (858) 842-1255
- **Mailing address:** PO BOX 786, POWAY, CA 92074-0786
- **Mailing address phone:** (619) 857-8831
- **Mailing address fax:** (858) 842-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A48300 | CA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A48300 | CA | — |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 08/29/2018