Healthcare Provider Details

I. General information

NPI: 1134160203
Provider Name (Legal Business Name): PATRICIA LOUISE GILBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1679 E MAIN ST SUITE 205
EL CAJON CA
92021-5212
US

IV. Provider business mailing address

PO BOX 1770
LA MESA CA
91944-1770
US

V. Phone/Fax

Practice location:
  • Phone: 619-442-4000
  • Fax: 619-579-1328
Mailing address:
  • Phone: 619-442-4000
  • Fax: 619-579-1328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberG067441
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: