Individual
GILBERT CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
649 VERDE MAR UNIT C, SANTA BARBARA, CA 93103-5743
(904) 629-1542
(904) 629-1542
Mailing address
649 VERDE MAR UNIT C, SANTA BARBARA, CA 93103-5743
(904) 629-1542
(904) 629-1542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00025476
AL
207P00000X
Emergency Medicine Physician
A80815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051527865
BCBS PROVIDER NUMBER
AL
05
—
051527865
—
AL
Enumeration date
11/14/2005
Last updated
03/08/2016
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