Provider Demographics
NPI:1942247580
Name:GELFAND, GILBERT F (MD)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:F
Last Name:GELFAND
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 1:12456 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1005
Mailing Address - Country:US
Mailing Address - Phone:562-758-6600
Mailing Address - Fax:562-758-6709
Practice Address - Street 1:12456 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1005
Practice Address - Country:US
Practice Address - Phone:562-758-6600
Practice Address - Fax:562-758-6709
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36369207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00361827OtherRAILROAD
005677OtherHEALTH NET ID #
CA00A363690Medicaid
00A363690OtherBLUE SHIELD ID #
110060917OtherRAILROAD
005677OtherHEALTH NET ID #
CAWA36369RMedicare PIN
CA00A363690Medicaid
005677OtherHEALTH NET ID #
P00361827OtherRAILROAD