Provider Demographics
NPI:1023241189
Name:GILPIN, DENISE ANN (LM)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:GILPIN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16485 LAGUNA CANYON RD
Mailing Address - Street 2:STE 250
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3837
Mailing Address - Country:US
Mailing Address - Phone:760-622-4781
Mailing Address - Fax:760-731-9628
Practice Address - Street 1:16485 LAGUNA CANYON RD
Practice Address - Street 2:STE 250
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3837
Practice Address - Country:US
Practice Address - Phone:760-622-4781
Practice Address - Fax:760-731-9628
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM92176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife