Individual
DR. BRUCE S GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11801 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1114
(310) 268-1001
(310) 268-1015
Mailing address
11801 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1114
(310) 268-1001
(310) 268-1015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G30367
CA
Other
Enumeration date
06/30/2006
Last updated
02/06/2019
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