Provider Demographics
NPI:1023862406
Name:NINO-TAPIAS, GIANNA JAMILECKS (MD)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:JAMILECKS
Last Name:NINO-TAPIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 FOURTH AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4413
Mailing Address - Country:US
Mailing Address - Phone:619-691-7587
Mailing Address - Fax:
Practice Address - Street 1:435 H STREET
Practice Address - Street 2:CV 112
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-691-7587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program