Individual
JEAN GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
A139990
CA
207RI0200X
Infectious Disease Physician
Primary
MD213516
OR
Other
Enumeration date
04/02/2014
Last updated
01/11/2023
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