Search › California › 2085R0202X
Michael Gibson, M.D
NPI 1447246640 · on the registry since 2005
Practice
- Address
- 4060 Fairmount Ave Ste 120
San Diego, CA 92105 - Phone
- (619) 269-1299
- Fax
- (619) 961-0812
- Organisation at this address
- La Maestra Family Clinic
La Maestra Family Clinic
La Maestra Family Clinic Inc
La Maestra Family Clinic, Inc
La Maestra Family Clinic, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Additional practice sites
- 4060 Fairmount Ave, San Diego, CA
- Nnmc, Radiology, Bethesda, MD
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085B0100X
- Licence states on file
- MD, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California