Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A77066 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | A77066 | CA |
NPI | 1396774220 |
---|---|
Provider Name | Vishakha Gigler |
First Address | Encinitas, CA 92024-2481 |
Second Address | Encinitas, CA 92024-2481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 23/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H97692 | (02) | CA |