Individual provider · Type 1 NPI

Gerald Douglas Hibdon, B.S.C.P.

Specialist · Oceanside, CA

NPI number 1750304929 Active

Practice location

4317 Black Canyon Way
Oceanside, CA 92057-6514

Call (760) 754-5212 Map

Fax (760) 754-5214

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1670 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750304929

Gerald Douglas Hibdon, B.S.C.P.'s National Provider Identifier is 1750304929, issued on Jul 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oceanside, CA. The record was last updated on Jul 21, 2022.