Provider Demographics
NPI:1982410783
Name:EGIL PULMONARY CONSULTANT
Entity type:Organization
Organization Name:EGIL PULMONARY CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-528-3955
Mailing Address - Street 1:941 CREEK VIEW LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6974
Mailing Address - Country:US
Mailing Address - Phone:909-528-3955
Mailing Address - Fax:
Practice Address - Street 1:12047 4TH ST
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-2735
Practice Address - Country:US
Practice Address - Phone:840-258-0972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty