Gaskins, Roland A

Gaskins, Roland A is an sole proprietor health care provider with primary practice located at 23025 Atlantic Cir Suite C, Moreno Valley CA 92553-5909. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gaskins, Roland A can be contacted via phone (951) 486-8618.

Contact Information

Primary practice address
23025 Atlantic Cir Suite C Moreno Valley CA 92553-5909
Phone: (951) 486-8618
Fax: (951) 486-9018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3646 California

Profile Details

NPI number 1710910872
LBN Legal business name Gaskins, Roland A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Mar 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710910872 NPPES
California MEDICAID 0732624

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