Individual
JOSLYN LOIS GUMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N VERMONT AVE STE 804, LOS ANGELES, CA 90027-6091
(323) 257-1814
(323) 257-1314
Mailing address
1680 LA LOMA ROAD, PASADENA, CA 91105-2158
(323) 385-8662
(323) 257-1314
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
A87245
CA
207VX0000X
Obstetrics Physician
Primary
A87245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A872450
BLUE SHIELD
CA
05
—
00A872450
—
CA
Enumeration date
07/27/2006
Last updated
01/28/2021
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