Provider Demographics
NPI:1871185124
Name:GIL, MARGA CIARA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MARGA
Middle Name:CIARA
Last Name:GIL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:402 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3542
Mailing Address - Country:US
Mailing Address - Phone:855-286-2577
Mailing Address - Fax:619-472-4910
Practice Address - Street 1:655 EUCLID AVE STE 301
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2972
Practice Address - Country:US
Practice Address - Phone:619-472-4900
Practice Address - Fax:619-472-4910
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95144904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily