Organization
STEVEN GITLIN, MD., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK GITLIN MD (OWNER)
(626) 794-0172
Entity
Organization
Contact information
Practice address
1234 RUBIO VISTA RD, ALTADENA, CA 91001-1534
(626) 794-0172
(626) 791-3602
Mailing address
1234 RUBIO VISTA RD, ALTADENA, CA 91001-1534
(626) 794-0172
(626) 791-3602
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G28726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G2878260
—
CA
Enumeration date
12/28/2006
Last updated
02/19/2015
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