Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G54181 | CA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G54181 | CA |
NPI | 1457399784 |
---|---|
Provider Name | Dr. Paul Keith Gilbert |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 24/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E54928 | (02) | CA |