Organization
BRUCE S. GILLIS, M.D., M.P.H., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE S GILLIS MD, MPH (PRESIDENT)
(319) 551-1940
Entity
Organization
Contact information
Practice address
1940 CENTURY PARK E, SUITE 400, LOS ANGELES, CA 90067-1700
(310) 551-1940
Mailing address
1940 CENTURY PARK E, SUITE 400, LOS ANGELES, CA 90067-1700
(310) 551-1940
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G30367
CA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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