Spencer Neil Gibson
Internal Medicine in Orange, CA. Individual provider (NPI-1).
NPI number1982172409
StatusActive
Last updated in NPPESApr 1, 2026
Details
- NPI
- 1982172409
- Entity type
- Individual (NPI-1)
- Name
- Spencer Neil Gibson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2018
- Certification date
- Apr 1, 2026
- Last updated
- Apr 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A199100 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 106S00000X | Behavior Technician | RBT-18-68672 | CA |
Practice location
101 The City Dr SOrange, CA 92868-3201
Phone 714-456-5691
Mailing address
101 The City Dr S Ste 400Orange, CA 92868-3201
Phone 714-456-5691
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