Bruce S. Gillis, M.D., M.P.H., Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G30367 Issued in CA

Legal business name

BRUCE S. GILLIS, M.D., M.P.H., INC.

Practice address

1940 Century Park E
Suite 400
Los Angeles, CA 90067-1700

Phone

(310) 551-1940

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce S Gillis, MD, MPH

Title

President

Phone

(319) 551-1940

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Epicgenetics, Inc.

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1639588890

  Member Of

  NPD member

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1912363243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 CENTURY PARK E",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900671700",
            "telephone_number": "310-551-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CENTURY PARK E",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900671700",
            "telephone_number": "310-551-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE S. GILLIS, M.D., M.P.H., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-551-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G30367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Didra Browntaylor, PHD, MPH, MA
• John Joseph Broz III, PA
• Maja Broz, MS, RDN
• Edbert R Bruan, D.D.S.
• Bruce C Landres MD Inc
• Bruce Torkan MD a Medical Corporation (Fatima Medical Clinic)
• Bruce Torkan, M.D. Inc., a Medical Corporation (Fatima Medical Clinic, Medical Group)
• Anna Latrice Bruce, LCSW
• David A Bruce, MFT
• Eric David Bruce, MSW

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.