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General NPI Number Information
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NPI Number | 1518916881
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Entity Type | Individual
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Provider Name | ANTHONY E. GABRIEL MD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 1191 PHELPS AVE
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City | COALINGA
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State | CA
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Zip | 93210-9609
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Country | US
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Telephone | 559-935-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 601 HAWAII STREET
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4814
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Country | US
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Telephone | 562-856-4501
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Fax | 866-441-2153
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G82095
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G82095
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License Number State | CA
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