Individual
GAVIN D SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 FIVEPOINT STE A, IRVINE, CA 92618-2621
(949) 671-8000
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA56440
MEDICAL LICENSE
CA
Enumeration date
01/16/2019
Last updated
10/30/2025
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