Individual
DR. BRUCE T GIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 E ELDER ST, FALLBROOK, CA 92028-3004
(760) 728-1191
Mailing address
PO BOX 998, NORTH HOLLYWOOD, CA 91603-0998
(818) 509-2222
(818) 761-3456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G42382
CA
207R00000X
Internal Medicine Physician
G42382
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G42382
CA
207RP1001X
Pulmonary Disease Physician
Primary
G42382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G423820
—
CA
Enumeration date
04/19/2006
Last updated
12/01/2011
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