Individual
SHEILA GAHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7910 FROST ST., SUITE 360, SAN DIEGO, CA 92123-2776
(858) 246-0053
(858) 496-9257
Mailing address
3880 MURPHY CANYON RD., SUITE 200, SAN DIEGO, CA 92123-4411
(858) 636-4300
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301047196
MI
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
4301047196
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3188751
—
MI
Enumeration date
07/31/2006
Last updated
01/23/2017
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