Individual
DANIELLE R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A202920
CA
Other
Enumeration date
05/12/2021
Last updated
07/25/2025
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