Provider Demographics
NPI:1376859223
Name:GILBERT K. MORAN M.D. F.A.C.O.G. INC
Entity Type:Organization
Organization Name:GILBERT K. MORAN M.D. F.A.C.O.G. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-299-9000
Mailing Address - Street 1:681 MEDICAL CENTER DR W
Mailing Address - Street 2:STE 101
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6803
Mailing Address - Country:US
Mailing Address - Phone:559-299-9000
Mailing Address - Fax:559-299-8581
Practice Address - Street 1:681 MEDICAL CENTER DR W
Practice Address - Street 2:STE 101
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6803
Practice Address - Country:US
Practice Address - Phone:559-299-9000
Practice Address - Fax:559-299-8581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-28
Last Update Date:2010-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG64415207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty