Organization
JEAN WARREN GILLON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN WARREN GILLON M.D. (OWNER)
(650) 364-3828
Entity
Organization
Contact information
Practice address
2900 WHIPPLE AVE STE 200, REDWOOD CITY, CA 94062-2864
(650) 364-3828
(650) 361-1727
Mailing address
2900 WHIPPLE AVE STE 200, REDWOOD CITY, CA 94062-2864
(650) 364-3828
(650) 361-1727
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G56808
CA
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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