Individual
DR. IRVING LEE GISLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12443 LEWIS ST. STE. 103, GARDEN GROVE, CA 92840-4650
(714) 971-7652
(714) 971-8927
Mailing address
7404 E. SADDLEHILL TRL, ORANGE, CA 92869-2310
(714) 971-7652
(714) 971-8927
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
A24010
CA
Other
Enumeration date
04/08/2008
Last updated
05/12/2021
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