Healthcare Provider Details

I. General information

NPI: 1649490004
Provider Name (Legal Business Name): ARNOLD L GILBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WILSHIRE BLVD #101
BEVERLY HILLS CA
90212-2022
US

IV. Provider business mailing address

9730 WILSHIRE BL #101
BEVERLY HILLS CA
90212
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-2304
  • Fax: 310-274-2476
Mailing address:
  • Phone: 310-274-2304
  • Fax: 310-274-2476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberG-7752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: