Gellerman, Douglas Reid
Gellerman, Douglas Reid is an sole proprietor health care provider with primary practice located at 7320 Woodlake Ave Suite 190, West Hills CA 91307-1468. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gellerman, Douglas Reid can be contacted via phone (818) 883-0112.Contact Information
Primary practice address
7320 Woodlake Ave Suite 190
West Hills CA 91307-1468
Phone: (818) 883-0112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G42777 | California |
Profile Details
| NPI number | 1639181530 |
|---|---|
| LBN Legal business name | Gellerman, Douglas Reid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 4th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639181530 | NPPES |
| California | MEDICAID | 00G427770 |
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