Gilbert Bourjeily, M.D.

Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Tehachapi, CA

NPI 1285882373 · NPPES record last updated Sep 3, 2008

Key facts

NPI
1285882373
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
License
A98931 (CA)
Practice address
115 W E St
Tehachapi, CA 93561-1607
Phone
(661) 823-3000
Fax
(661) 823-3082
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98931CAMDGeriatric Medicine (Internal Medicine) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A98931 CA Yes

Addresses

Primary practice location

115 W E St
Tehachapi, CA 93561-1607

Mailing address

115 W E St
Tehachapi, CA 93561-1607
Phone (661) 823-3000

Other providers in Tehachapi, CA

All providers in Tehachapi, CA · Geriatric Medicine (Internal Medicine) Physician in California

Sources for this page

Verify at the official NPI Registry.