person
Dr. Gabriel Stephan Niles, MD
Family Medicine Physician in Los Angeles, California
NPI 1285611699

Gabriel Stephan Niles is a Family Medicine Physician based in Los Angeles, CA. Gabriel Stephan Niles practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Gabriel Stephan Niles is 1285611699 and holds a License No. MD6030955 (California).

The current practice location address for Gabriel Stephan Niles is 12555 W Jefferson Blvd Ste 301, Los Angeles, CA and can be reached out via phone at 424-443-5555 and via fax at 424-443-5550.

Location: 12555 W Jefferson Blvd Ste 301, Los Angeles, CA, 90066-7032
person
Provider Profile Details
NPI Number
1285611699
Provider Name
Gabriel Stephan Niles
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12555 W Jefferson Blvd Ste 301, Los Angeles, CA, 90066-7032
Phone Number
424-443-5555
Fax Number
424-443-5550
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2045010 01 WA WA MEDICAID PROVIDER ID
G8940666 01 WA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
12555 W Jefferson Blvd Ste 301
City
State
Zip
90066-7032
Phone Number
424-443-5555
Fax Number
424-443-5550
person
Provider Business Mailing Address Details
Address
12555 W Jefferson Blvd Ste 301
City
State
Zip
90066-7032
Phone Number
424-443-5555
Fax Number
424-443-5550
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD6030955 (Washington)
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 is not limited by age, sex, organ system, or disease entity.
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