Basic Information
| Provider Information | |||||||||
| NPI: | 1679922892 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GYSI | ||||||||
| FirstName: | MADELEINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11550 INDIAN HILLS RD STE 371 | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183651194 | ||||||||
| FaxNumber: | 8188983835 | ||||||||
| Practice Location | |||||||||
| Address1: | 11550 INDIAN HILLS RD STE 371 | ||||||||
| Address2: | |||||||||
| City: | MISSION HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913451252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183651194 | ||||||||
| FaxNumber: | 8188983835 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2016 | ||||||||
| LastUpdateDate: | 07/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | A161123 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.