Provider Demographics
NPI:1063624179
Name:SIMPSON, GAIL (MSW)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 KATELLA AVENUE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90740
Mailing Address - Country:US
Mailing Address - Phone:714-828-2989
Mailing Address - Fax:562-795-6730
Practice Address - Street 1:4050 KATELLA AVENUE
Practice Address - Street 2:SUITE 211
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90740
Practice Address - Country:US
Practice Address - Phone:714-828-2989
Practice Address - Fax:562-795-6730
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS92511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical