Provider Demographics
NPI:1174504757
Name:GAINOR, GRETCHEN CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:CHRISTINE
Last Name:GAINOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GRETCHEN
Other - Middle Name:CHRISTINE
Other - Last Name:GAINOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7300 GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5138
Mailing Address - Country:US
Mailing Address - Phone:858-459-4351
Mailing Address - Fax:858-459-4399
Practice Address - Street 1:7300 GIRARD AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5138
Practice Address - Country:US
Practice Address - Phone:858-459-4351
Practice Address - Fax:858-459-4399
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79066208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics