Individual
DR. DOUGLAS REID GELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7320 WOODLAKE AVE, SUITE 190, WEST HILLS, CA 91307-1468
(818) 883-0112
Mailing address
22138 DARDENNE ST, CALABASAS, CA 91302-5867
(818) 222-0714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G42777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G427770
—
CA
Enumeration date
08/12/2006
Last updated
11/04/2013
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