Carol A Gilmore, M.D.
Family Medicine in Chula Vista, CA. Individual provider (NPI-1).
NPI number1245264530
StatusActive
Last updated in NPPESMar 31, 2015
Details
- NPI
- 1245264530
- Entity type
- Individual (NPI-1)
- Name
- Carol A Gilmore
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2006
- Last updated
- Mar 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | C41580 | CA | Yes |
| 207R00000X | Internal Medicine | C41580 | CA | |
| 207R00000X | Internal Medicine | MD00046332 | WA |
Practice location
450 4th AvenueSuite 408
Chula Vista, CA 91910-4430
Phone 619-691-1990 · Fax 619-691-5977
Mailing address
450 4th AvenueSuite 408
Chula Vista, CA 91910-4430
Phone 619-691-1990 · Fax 619-691-5977
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