Healthcare Provider Details
I. General information
NPI: 1912976622
Provider Name (Legal Business Name): GAIL CELIA SALGANICK-ERFANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/15/2006
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 PROMENADE CIR
SACRAMENTO CA
95834-2939
US
IV. Provider business mailing address
PO BOX 210724
CHULA VISTA CA
91921-0724
US
V. Phone/Fax
- Phone: 305-866-7123
- Fax:
- Phone: 619-623-4041
- Fax: 619-830-4181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | A100016 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| License Number | A100016 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: