Jeffry M. Gill, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JEFFRY M. GILL, M.D., INC.

Practice address

12401 Washington Blvd
Whittier, CA 90602-1006

Phone

(562) 365-3540

Fax

(714) 990-2754

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffry Marcus Gill, MD

Title

President

Phone

(562) 365-3540

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1336208289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W IMPERIAL HWY",
            "address_2": "H-171",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214832",
            "telephone_number": "562-365-3540",
            "fax_number": "714-990-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-365-3540",
            "fax_number": "714-990-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY M. GILL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-365-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zachary Jenkins
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• Caleb Jeon, MD
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• Inga Pak Jeon, M.D.

• Pediatrics Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.