Joshua Daniel Gilliland | San Diego, CA • PECOS Search

Joshua Daniel Gilliland

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(210) 367-3312 (580) 491-2782

PECOS Enrollment

Based on the most recent information from CMS, provider Joshua Daniel Gilliland does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1245708791
Provider Type
Individual
Full Name
Gilliland, Joshua Daniel
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
11/2/2018
Last Updated
7/26/2024

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

Unlisted Fax

Mailing Location

3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License PA18154 Texas