Kelly M Gibson
Medical Specialty
Professional ID
- NPI: 1932534039
- PECOS ID: 1557594546
- Enrollment ID: I20140428000887
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 050262
- Business Name (LBN)1: Ronald Reagan U C L A Medical Center
- Hospital CCN2: 050112
- Business Name (LBN)2: Santa Monica - Ucla Med Ctr Orthopaedic Hospital
Medical Practices
- Organization Name: Southern California Permanente Medical Group
- Group Practice ID assigned by PECOS: 6002729175
- Number of Group Practice member: 8102
Location
Medical Practices
- Organization Name: Uc Regents
- Group Practice ID assigned by PECOS: 8527971316
- Number of Group Practice member: 183
Location
- Address1: 757 Westwood Plaza
- Address2:
- City: Los Angeles
- State: California
- Zip Code: 90095
- Phone Number: (310)825-9111
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):