Individual
PATRICK KENNEDY MCGILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST BLDG A7D, LOS ANGELES, CA 90089-1001
(323) 226-2622
Mailing address
19 KINGSTON ST APT 3, SOMERVILLE, MA 02144-2713
(708) 822-0989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
188029
CA
Other
Enumeration date
04/16/2020
Last updated
01/15/2025
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