Individual
DR. EVAN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 WESTWOOD BLVD, LOS ANGELES, CA 90025-6329
(213) 813-4070
Mailing address
1968 S COAST HWY STE 3985, LAGUNA BEACH, CA 92651-3681
(479) 629-2856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A166411
CA
390200000X
Student in an Organized Health Care Education/Training Program
EC171028
ME
Other
Enumeration date
03/28/2017
Last updated
05/10/2022
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