# P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386636165
- **Authorized official:** DR. PARAM K GILL MD (CEO-CORPORATION)
- **Authorized official phone:** (209) 465-5550

## Contact information

- **Practice address:** 999 S FAIRMONT AVE, STE 230, LODI, CA 95240-5100
- **Practice address phone:** (209) 465-5550
- **Practice address fax:** (209) 334-0127
- **Mailing address:** PO BOX 1090, LODI, CA 95241-1090
- **Mailing address phone:** (209) 465-5550
- **Mailing address fax:** (209) 334-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 09/16/2022