Organization
INPATIENT SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFRY MARCUS GILL MD (PRESIDENT)
(562) 365-3540
Entity
Organization
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 365-3540
(714) 990-2754
Mailing address
407 W IMPERIAL HWY, H-171, BREA, CA 92821-4832
(562) 365-3540
(714) 990-2754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0105120
—
CA
Enumeration date
12/07/2006
Last updated
11/10/2009
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