Provider Demographics
NPI:1235439589
Name:JAMES G GITLIN,M.D., INC
Entity Type:Organization
Organization Name:JAMES G GITLIN,M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:GITLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-377-9333
Mailing Address - Street 1:17071 SPRINGDALE ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-4669
Mailing Address - Country:US
Mailing Address - Phone:714-377-9333
Mailing Address - Fax:714-731-8310
Practice Address - Street 1:17071 SPRINGDALE ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-4669
Practice Address - Country:US
Practice Address - Phone:714-377-9333
Practice Address - Fax:714-731-8310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25576207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty