Provider Demographics
NPI:1710159124
Name:GAWIN, FRANK H (MD)
Entity Type:Individual
Prefix:PROF
First Name:FRANK
Middle Name:H
Last Name:GAWIN
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 1:1777 DEL LAGO
Mailing Address - Street 2:MOOD & ADDICTION NEUROSCIENCE FOUNDATION
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-6905
Mailing Address - Country:US
Mailing Address - Phone:310-456-9710
Mailing Address - Fax:310-456-9710
Practice Address - Street 1:1777 DEL LAGO
Practice Address - Street 2:MOOD & ADDICTION NEUROSCIENCE FOUNDATION
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-6905
Practice Address - Country:US
Practice Address - Phone:310-456-9710
Practice Address - Fax:310-456-9710
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG491422083P0901X, 2084A0401X, 2084N0600X, 2084P0802X, 2084P2900X, 208U00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine