Individual
DR. JILLIAN GORDON GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2122
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A179731
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2019
Last updated
08/04/2022
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