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Contact Information

MARK GIGLIO, MD
955 W IMPERIAL HWY STE 110
BREA, CA92821
 Phone: 714-449-6900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK GIGLIO · (Male)

NPI Number 1134129182
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G67099
Hospital affiliation(s)
  • ST JUDE MEDICAL CENTER - (Acute Care)
    101 E VALENCIA MESA DRIVE
    FULLERTON, CA 92835
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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