Provider Demographics
NPI:1235437542
Name:GILBERT, ROY NORMAN (ROY GILBERT)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:NORMAN
Last Name:GILBERT
Suffix:
Gender:M
Credentials:ROY GILBERT
Other - Prefix:MR
Other - First Name:ROY
Other - Middle Name:NORMAN
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:R EEG/EP T, CNIM
Mailing Address - Street 1:3940 E GREEN CLOVER CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2128
Mailing Address - Country:US
Mailing Address - Phone:714-921-0673
Mailing Address - Fax:714-921-8955
Practice Address - Street 1:3940 E GREEN CLOVER CIR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-2128
Practice Address - Country:US
Practice Address - Phone:714-921-0673
Practice Address - Fax:714-921-8955
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist