Willis L Gelston
Family Doctor - Geriatric Medicine
13851 E 14th St Suite 102
San Leandro
, California 94578-2631
Willis L Gelston
Family Doctor - Geriatric Medicine
13851 E 14th St Suite 102
San Leandro
, California 94578-2631
(510) 357-3389
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Willis L Gelston
- 13851 E 14th St Suite 102
- San Leandro, CA
- Zip : 94578-2631
- Fax : (510) 357-3389
- Phone : (510) 351-2100
Second Address
- Willis L Gelston
- 13851 E 14th St Suite 102
- San Leandro, CA
- Zip : 94578-2631
- Fax : (510) 357-3389
- Phone : (510) 351-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | C32875 | CA |
National Provider Identifier
| NPI | 1134188360 |
|---|---|
| Provider Name | Willis L Gelston |
| First Address | San Leandro, CA 94578-2631 |
| Second Address | San Leandro, CA 94578-2631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.