Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Justin Gillenwater, MD

Individual provider Plastic Surgery Physician · NPI 1275763922

Dr. Timothy Justin Gillenwater, MD is a Plastic Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1450 San Pablo St Ste 6200
Los Angeles, CA 90033-5331
Phone: (323) 442-7920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A108333 (CA)

Record details

NPI number1275763922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 11, 2020

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