Gabriel Stephan Niles in Los Angeles - Family Medicine
Gabriel Stephan Niles - NPI 1285611699
Gabriel Stephan Niles is a Family Medicine in Los Angeles, California. Gabriel Stephan Niles practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gabriel Stephan Niles is 1285611699. The last update date is 2022-11-28.
Gabriel Stephan Niles's current location address is 12555 W Jefferson Blvd # 301, Los Angeles, California. You can contact this provider via phone number 4244435555 and fax number 4244435550. The mailing address for Gabriel Stephan Niles is 12555 W Jefferson Blvd # 301, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel Stephan Niles |
|---|---|
| Address | 12555 W Jefferson Blvd # 301, Los Angeles, California |
| Phone Number | 4244435555 |
| Fax Number | 4244435550 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285611699 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2022-11-28 |
Provider Mailing Address Detail
| Address | 12555 W Jefferson Blvd # 301 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900667032 |
| Phone Number | 4244435555 |
| Fax Number | 4244435550 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD6030955 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2045010 | WA | WA MEDICAID PROVIDER ID | |
| G8940666 | WA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gabriel Stephan Niles by the Centers for Medicare & Medicaid Services?
The Gabriel Stephan Niles has been assigned the NPI (National Provider Identifier) 1285611699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gabriel Stephan Niles is geographically located?
The Gabriel Stephan Niles is physically situated at the following location: 12555 W Jefferson Blvd # 301, Los Angeles, CA, 900667032.
What is the area of specialization for Gabriel Stephan Niles, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gabriel Stephan Niles is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285611699 to Gabriel Stephan Niles?
The Gabriel Stephan Niles received its 1285611699 assignment from the Centers for Medicare & Medicaid Services on 2005-12-28.
As of what date was the information regarding Gabriel Stephan Niles, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gabriel Stephan Niles, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-28.