Organization
GERALD GOLLIN MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GOLLIN MD (PRESIDENT)
(909) 633-5238
Entity
Organization
Contact information
Practice address
317 N EL CAMINO REAL, STE 502, ENCINITAS, CA 92024-2811
(760) 634-4090
(760) 634-4094
Mailing address
317 N EL CAMINO REAL, STE 502, ENCINITAS, CA 92024-2811
(760) 634-4090
(760) 634-4094
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
G084953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477598662
—
CA
Enumeration date
11/16/2015
Last updated
11/16/2015
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