Healthcare Provider Details

I. General information

NPI: 1073752861
Provider Name (Legal Business Name): GILBERT ALMARAZ MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2009
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 BAILEY AVE
NEEDLES CA
92363-3103
US

IV. Provider business mailing address

5 HOLLAND STE 101
IRVINE CA
92618-2568
US

V. Phone/Fax

Practice location:
  • Phone: 760-326-4531
  • Fax: 760-326-7167
Mailing address:
  • Phone: 949-588-2190
  • Fax: 949-588-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA66891
License Number StateCA

VIII. Authorized Official

Name: GILBERT ALMARAZ
Title or Position: PRESIDENT
Credential: MD
Phone: 949-588-2190