Organization
GERARD C. ARCILLA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD C ARCILLA MD (OWNER)
(619) 857-8831
Entity
Organization
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 857-8831
(858) 842-1255
Mailing address
PO BOX 786, POWAY, CA 92074-0786
(619) 857-8831
(858) 842-1255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A48300
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A48300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A483000
—
CA
Enumeration date
01/14/2013
Last updated
08/29/2018
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