Organization
TIMOTHY W GIBSON M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY W GIBSON M.D. (PRESIDENT)
(714) 848-1911
Entity
Organization
Contact information
Practice address
17742 BEACH BLVD STE 245, HUNTINGTON BEACH, CA 92647-6835
(714) 848-1911
(714) 841-6761
Mailing address
17742 BEACH BLVD STE 245, HUNTINGTON BEACH, CA 92647-6835
(714) 848-1911
(714) 841-6761
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
11/20/2012
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