Individual
GARY PHILLIP MCCAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
(562) 904-5140
Mailing address
500 S MAIN ST, 1210, ORANGE, CA 92868-4507
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G47746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G477460
BLUE SHIELD
CA
05
—
00G477460
—
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
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