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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IRVING LEE GISLASON, MD

Active Sole Proprietor

DR. IRVING LEE GISLASON, MD is a Clinical Neurophysiology healthcare provider located in GARDEN GROVE, California. NPI 1013180355 is currently active in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · GARDEN GROVE, CA

Registration Details

NPI Number
1013180355
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2008 (18.377486057851 yrs)
Last Updated
May 12, 2021
License
A24010 (CA)
Sole Proprietor
Yes

Practice Information

Address
12443 LEWIS ST. STE. 103
GARDEN GROVE, CA, 928404650
Browse CA providers · Browse ZIP 92840
Phone
7149717652
Fax
7149718927
Primary Specialty
Clinical Neurophysiology
2084N0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.