Provider Demographics
NPI:1053904326
Name:PAPILLA, GILBERT (CPHT)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:
Last Name:PAPILLA
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 BRANDY WINE WAY
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7104
Mailing Address - Country:US
Mailing Address - Phone:310-940-1771
Mailing Address - Fax:
Practice Address - Street 1:3326 BRANDY WINE WAY
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-7104
Practice Address - Country:US
Practice Address - Phone:310-940-1771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76210183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician