Healthcare Provider Details

I. General information

NPI: 1235046046
Provider Name (Legal Business Name): GREG GELMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

653 MAIN ST
BRAWLEY CA
92227-2547
US

IV. Provider business mailing address

PO BOX 2100
EL CENTRO CA
92244-2100
US

V. Phone/Fax

Practice location:
  • Phone: 760-344-2000
  • Fax:
Mailing address:
  • Phone: 760-344-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40667
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: