Individual
DR. BRENDAN GAYLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8959
(858) 784-5933
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8964
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A49668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A496680
—
CA
Enumeration date
07/03/2006
Last updated
04/11/2017
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