SearchCalifornia2085R0202X

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