Provider Demographics
NPI:1023607827
Name:GILI, GERELYN PAR (NP)
Entity type:Individual
Prefix:
First Name:GERELYN
Middle Name:PAR
Last Name:GILI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20734 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6825
Mailing Address - Country:US
Mailing Address - Phone:310-335-3537
Mailing Address - Fax:747-477-7710
Practice Address - Street 1:20734 CLARK ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6825
Practice Address - Country:US
Practice Address - Phone:747-777-1007
Practice Address - Fax:747-777-1007
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95016372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily