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NPI Code Detail

MEDICARE: SAUL GIL

MEDICARE: SAUL GIL
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
1225400000XRehabilitation Practitioner
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1902247836
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUL GIL
Provider Business Mailing Address
First Line : 100 W WALNUT ST STE 375
Second Line :
City : PASADENA
State : CA
Zip : 91124-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1230 N MARENGO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-2217
Country : US
Telephone Number : 626-797-1124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2013
Last Update Date : 10/30/2023

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Directions to “ SAUL GIL ” Practice Location

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