Individual
GIL SYMOUN B SAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 552-4900
Mailing address
5329 E BERGH DR, ANAHEIM, CA 92807-3136
(714) 300-9285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95181496
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028172
CA
Other
Enumeration date
05/07/2020
Last updated
12/11/2023
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