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Individual

ANDREW JAY GELLENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8851 CENTER DR 210, LA MESA, CA 91942
(619) 463-7775
(619) 463-4181
Mailing address
8851 CENTER DR 210, LA MESA, CA 91942
(619) 463-7775
(619) 463-4181

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
G71477
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GR0043610
MEDICAL GROUP
Enumeration date
09/15/2006
Last updated
02/01/2023
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