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GILL MEDICAL GROUP INC. NPI 1235642588


NPI Information

NPI: 1235642588
Provider Name: GILL MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0982885

Address:
999 S FAIRMONT AVE STE 235
LODI, CA
ZIP 95240
Phone: (209) 334-0799
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GILL MEDICAL GROUP, INC. is a family medicine in Lodi, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GILL MEDICAL GROUP, INC. NPI is 1235642588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 S FAIRMONT AVE STE 235
LODI, CA
ZIP 95240-100
Phone: (209) 334-0799

The provider's authorized official is Ruby Kaur Srao .
The authorized official title is President and has the following contact phone number (209) 334-0799.

The CLIA number assigned to this NPI record is 05D0982885 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 12/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA131215CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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