Provider Demographics
NPI:1194489435
Name:GIL, CHIANTALL ANNE PARAS (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHIANTALL ANNE
Middle Name:PARAS
Last Name:GIL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 4/5 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3228
Mailing Address - Country:US
Mailing Address - Phone:562-377-2249
Mailing Address - Fax:
Practice Address - Street 1:3451 W CENTURY BLVD # 1
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303-1227
Practice Address - Country:US
Practice Address - Phone:310-677-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95017738OtherCALIFORNIA BOARD OF NURSING NP FURNISHING