Provider Demographics
NPI:1639508476
Name:ROBERT G GISH CONSULTANTS LLC
Entity Type:Organization
Organization Name:ROBERT G GISH CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GARETH
Authorized Official - Last Name:GISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-229-9865
Mailing Address - Street 1:6022 LA JOLLA MESA DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7814
Mailing Address - Country:US
Mailing Address - Phone:858-229-9865
Mailing Address - Fax:858-886-7093
Practice Address - Street 1:6022 LA JOLLA MESA DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-7814
Practice Address - Country:US
Practice Address - Phone:858-229-9865
Practice Address - Fax:858-886-7093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG045632207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Single Specialty