Gisi, Richard Mountain
Gisi, Richard Mountain is an sole proprietor health care provider with primary practice located at 1115 S Sunset Ave Administration, West Covina CA 91790-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gisi, Richard Mountain can be contacted via phone (626) 813-7803.Contact Information
Primary practice address
1115 S Sunset Ave Administration
West Covina CA 91790-3940
Phone: (626) 813-7803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A30446 | California |
Profile Details
| NPI number | 1942495296 |
|---|---|
| LBN Legal business name | Gisi, Richard Mountain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 19 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 | 1942495296 | NPPES |
| California | MEDICAID | 00A304460 |
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