Individual
DR. FRANK T. GILLINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN STREET, VAN NUYS, CA 91405-4597
(818) 902-2990
(818) 904-3793
Mailing address
2550 NORTH HOLLYWOOD WAY, SUITE 209, BURBANK, CA 91505-5019
(818) 557-0135
(818) 557-1394
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G37503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G375030
BLUE SHIELD
CA
05
—
00G375030
—
CA
01
—
050126CA47117
VALLEY PRES TRAILBLAZER
CA
01
—
G37503
BLUE CROSS
CA
Enumeration date
05/26/2006
Last updated
07/09/2007
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