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NPI Code Detail

MEDICARE: STEVEN GITLIN, MD., INC.

MEDICARE: STEVEN GITLIN, MD., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianG28726CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265598858
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN GITLIN, MD., INC.
Provider Business Mailing Address
First Line : 1234 RUBIO VISTA RD
Second Line :
City : ALTADENA
State : CA
Zip : 91001-1534
Country : US
Telephone Number : 626-794-0172
Fax Number : 626-791-3602
Provider Business Practice Location Address
First Line : 1234 RUBIO VISTA RD
Second Line :
City : ALTADENA
State : CA
Zip : 91001-1534
Country : US
Telephone Number : 626-794-0172
Fax Number : 626-791-3602
Authorized Official
Title or Position : OWNER
Name : DR. STEVEN MARK GITLIN
Credential : MD
Telephone Number : 626-794-0172
Provider Enumeration Date : 12/28/2006
Last Update Date : 02/19/2015

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Directions to “STEVEN GITLIN, MD., INC. ” Practice Location

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