# JEAN WARREN GILLON MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1417391541
- **Authorized official:** DR. JEAN WARREN GILLON M.D. (OWNER)
- **Authorized official phone:** (650) 364-3828

## Contact information

- **Practice address:** 2900 WHIPPLE AVE STE 200, REDWOOD CITY, CA 94062-2864
- **Practice address phone:** (650) 364-3828
- **Practice address fax:** (650) 361-1727
- **Mailing address:** 2900 WHIPPLE AVE STE 200, REDWOOD CITY, CA 94062-2864
- **Mailing address phone:** (650) 364-3828
- **Mailing address fax:** (650) 361-1727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G56808 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2013
- **Last updated:** 04/19/2013