Individual
GIERIC LAPUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(323) 226-7556
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A153862
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GL3232267556
—
CA
Enumeration date
04/06/2016
Last updated
11/01/2022
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