Individual
JOHN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(310) 707-4318
(000) 000-0000
Mailing address
4735 HAYTER AVE, LAKEWOOD, CA 90712-3508
(562) 756-7546
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT23156
CA
Other
Enumeration date
04/04/2008
Last updated
12/03/2025
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