IndividualActive
Irving Gislason, MD
NPI 1013180355 · Clinical Neurophysiology Physician · Garden Grove, CA
Provider details
- NPI number
- 1013180355
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A24010 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12443 Lewis St. Ste. 103
Garden Grove, CA 92840-4650
Phone: (714) 971-7652
Fax: (714) 971-8927
Approximate (ZIP-level) locationGet directions
Mailing address
7404 E. Saddlehill Trl
Orange, CA 92869-2310
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.