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NPI Code Detail

MEDICARE: JOSEPH E GILBOY PA-C

MEDICARE: JOSEPH E GILBOY PA-C
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
1363A00000XPhysician Assistant11711CA

General Provider Information

NPI Number : 1851374466
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH E GILBOY PA-C
Provider Business Mailing Address
First Line : 10 ROYCROFT CT
Second Line :
City : LADERA RANCH
State : CA
Zip : 92694-0953
Country : US
Telephone Number : 714-357-2032
Fax Number :
Provider Business Practice Location Address
First Line : 16200 SAND CANYON AVE
Second Line :
City : IRVINE
State : CA
Zip : 92618-3714
Country : US
Telephone Number : 949-517-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/22/2015

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