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Individual

GAIL P. GADDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
PO BOX 8970, ALTA LOMA, CA 91701-8970

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
AO31964
CA
207P00000X
Emergency Medicine Physician
A31964
CA
282N00000X
General Acute Care Hospital
Primary
AO31964
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A31964
MEDICAL LICENSE
CA
Enumeration date
01/19/2007
Last updated
01/07/2014
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