Provider Demographics
NPI:1407827405
Name:GELLIN, GERALD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:ALAN
Last Name:GELLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:PO BOX 27404 / SUITE 805
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-668-2400
Mailing Address - Fax:415-668-6940
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 805
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-668-2400
Practice Address - Fax:415-668-6940
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC20774207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C207740OtherBLUE SHIELD
CA00C207740OtherUNITED HEALTHCARE
00C207740Medicare ID - Type Unspecified
A31781Medicare UPIN