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NPI Code Detail

MEDICARE: GIL REAL

MEDICARE: GIL REAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant49848CA

General Provider Information

NPI Number : 1154279479
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIL REAL
Provider Business Mailing Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-546-6450
Fax Number : 949-378-8983
Provider Business Practice Location Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-546-6450
Fax Number : 949-378-8983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ GIL REAL ” Practice Location

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