MEDICARE: DR. GAIL CELIA SALGANICK-ERFANI MD

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
1	208600000X	Surgery Physician	A100016	CA
2	208C00000X	Colon & Rectal Surgery Physician	A100016	CA

General Provider Information

NPI Number	:	1912976622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL CELIA SALGANICK-ERFANI MD

Provider Business Mailing Address
First Line	:	PO BOX 210724
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91921-0724
Country	:	US
Telephone Number	:	619-623-4041
Fax Number	:	619-830-4181

Provider Business Practice Location Address
First Line	:	180 PROMENADE CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2939
Country	:	US
Telephone Number	:	305-866-7123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	11/04/2021

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