Provider Demographics
NPI:1023071404
Name:GIRLING, LOUIS EDWIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:EDWIN
Last Name:GIRLING
Suffix:JR
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 1:639 EDINBURGH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3532
Mailing Address - Country:US
Mailing Address - Phone:415-586-7857
Mailing Address - Fax:
Practice Address - Street 1:720 EMPEY WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4705
Practice Address - Country:US
Practice Address - Phone:408-793-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA47959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A479590Medicaid
CAG16519Medicare UPIN