Irving Lee Gislason MD

NPI 1013180355 - Psychiatry & Neurology - 2084N0600X

NPI Details
NPI 1013180355
Gender Male
Enumeration Date 04/08/2008
Last Updated 04/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12443 LEWIS ST STE 101
GARDEN GROVE CA, 92840-4650, US
Phone (714) 971-7652
Fax (714) 971-8927
Business Location
12443 LEWIS ST STE 101
GARDEN GROVE CA, 92840-4650, US
Phone (714) 971-7652
Fax (714) 971-8927
Toxanomy
Taxonomy Code 2084N0600X
License State California
License Number A24010
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According to our database, Dr. Irving Lee Gislason MD NPI is 1013180355, taxonomy code is 2084N0600X and license number is A24010, license state is located at California. Irving Lee Gislason MD physically located at 12443 Lewis St Ste 101, Garden Grove CA, 92840-4650. NPI Number Irving Lee Gislason MD has the Individual type.

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1013180355 NPI number is provided on an as is basis without warranty of any kind. 1013180355 is maintained by the National Plan & Provider Enumeration System. The contents of Irving Lee Gislason MD are for informational purposes only.