Individual
JASBIR SINGH GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 N CALIFORNIA ST STE 2D, STOCKTON, CA 95204-6117
(209) 933-9888
(209) 933-9898
Mailing address
PO BOX 1450, LODI, CA 95241-1450
(209) 334-6583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A3118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3118
CA MEDICAL BOARD
CA
Enumeration date
07/12/2017
Last updated
07/12/2017
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