Healthcare Provider Details
I. General information
NPI: 1861044240
Provider Name (Legal Business Name): LINDSEY ANNE GELBER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/15/2019
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26137 LA PAZ RD STE 200
MISSION VIEJO CA
92691-5321
US
IV. Provider business mailing address
26137 LA PAZ RD STE 200
MISSION VIEJO CA
92691-5321
US
V. Phone/Fax
- Phone: 714-922-4100
- Fax:
- Phone: 714-922-4100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: