Individual provider · Type 1 NPI

Brenitta Gilliam-Udo, PA-C

Physician Assistant · San Bernardino, CA

NPI number 1336396548 Active

Practice location

351 N Mountain View Ave
San Bernardino, CA 92415-1018

Call (714) 748-8955 Map

Mailing address

25064 Barton Rd
Loma Linda, CA 92354-2830

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	15518 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336396548

Brenitta Gilliam-Udo, PA-C's National Provider Identifier is 1336396548, issued on Aug 20, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 20, 2008.