Healthcare Provider Details

I. General information

NPI: 1942247580
Provider Name (Legal Business Name): GILBERT F. GELFAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12456 WASHINGTON BLVD
WHITTIER CA
90602-1005
US

IV. Provider business mailing address

12456 WASHINGTON BLVD
WHITTIER CA
90602-1005
US

V. Phone/Fax

Practice location:
  • Phone: 562-758-6600
  • Fax: 562-758-6709
Mailing address:
  • Phone: 562-758-6600
  • Fax: 562-758-6709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA36369
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: