Individual
JEANNE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
138 W MAIN ST, UNIT E, VENTURA, CA 93001-2584
(805) 667-2851
(805) 652-0708
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-1683892
OTHER INSURANCE
CA
05
—
RHM08608F
—
CA
05
—
RHM08609F
—
CA
05
—
RHM18553H
—
CA
05
—
ZZT40394F
—
CA
Enumeration date
05/28/2006
Last updated
12/20/2010
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