Organization
JAMES ALLEN GIBBS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A GIBBS MD (PRESIDENT)
(323) 588-1231
Entity
Organization
Contact information
Practice address
3111 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5829
(323) 588-1231
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G17470
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G17470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G174700
BLUE SHIELD
CA
05
—
00G174701
—
CA
Enumeration date
03/22/2006
Last updated
03/20/2008
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