Individual
AMILCARE GENTILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12519 GREVILLEA PLACE, SAN DIEGO, CA 92160-4896
(216) 255-5700
(216) 255-5701
Mailing address
23625 COMMERCE PARK, SUITE 204, BEACHWOOD, OH 44122
(216) 255-5701
(216) 255-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A44208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A442080
—
CA
01
—
34196095944193
TRICARE WEST
—
Enumeration date
01/04/2006
Last updated
11/20/2007
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