National Provider Identifier Database

AZEBRIA GIPSON
Women


Contact Information

AZEBRIA GIPSON
2331 E 120TH ST
LOS ANGELES, CA90059-2629
Phone: 310-602-9575
Fax:
Website:
Specialty Taxonomy Code
* Women 282NW0100X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for AZEBRIA GIPSON

NPI Number 1124406012
Credentials
Entity Individual
Enumeration date 05/11/2015
Last updated 05/11/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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