Provider Demographics
NPI:1750369575
Name:GELINO, ERIC (MD)
Entity type:Individual
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First Name:ERIC
Middle Name:
Last Name:GELINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:99 MONTECILLO RD
Mailing Address - Street 2:SAN RAFAEL KAISER PERMANENTE, RADIOLOGY DEPARTMENT
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3308
Mailing Address - Country:US
Mailing Address - Phone:415-444-2066
Mailing Address - Fax:
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:SAN RAFAEL KAISER PERMANENTE, RADIOLOGY DEPARTMENT
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2021-12-09
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Provider Licenses
StateLicense IDTaxonomies
CAA913732471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography