Provider Demographics
NPI:1396847299
Name:GILDIN, JOAN SANDRA (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:SANDRA
Last Name:GILDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1197
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1197
Mailing Address - Country:US
Mailing Address - Phone:760-721-9600
Mailing Address - Fax:760-721-9600
Practice Address - Street 1:9400 RUFFIN CT
Practice Address - Street 2:B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-5300
Practice Address - Country:US
Practice Address - Phone:858-514-4632
Practice Address - Fax:858-514-4810
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG402682084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry