Provider Demographics
NPI:1235551888
Name:SWITZ, GHISLAINE TILLEY (MS, DVM)
Entity type:Individual
Prefix:DR
First Name:GHISLAINE
Middle Name:TILLEY
Last Name:SWITZ
Suffix:
Gender:F
Credentials:MS, DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 WILSHIRE BLVD STE 1040
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7131
Mailing Address - Country:US
Mailing Address - Phone:310-838-9300
Mailing Address - Fax:310-838-9300
Practice Address - Street 1:12100 WILSHIRE BLVD STE 1040
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7131
Practice Address - Country:US
Practice Address - Phone:310-838-9300
Practice Address - Fax:310-838-9300
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18375174M00000X
TX12432174M00000X
NY012203174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian