Individual
JAMES K GILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
332 SANTA FE DR, SUITE 110, ENCINITAS, CA 92024-5143
(760) 943-6700
(760) 632-4292
Mailing address
332 SANTA FE DR, SUITE 110, ENCINITAS, CA 92024-5143
(760) 943-6700
(760) 632-4292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 18037
CA
363AM0700X
Medical Physician Assistant
PA18037
CA
363AS0400X
Surgical Physician Assistant
Primary
PA18037
CA
Other
Enumeration date
08/23/2006
Last updated
10/11/2013
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