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NPI Code Detail

MEDICARE: GABRIEL LLAMAS

MEDICARE: GABRIEL LLAMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1306601950
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL LLAMAS
Provider Business Mailing Address
First Line : 408 VISTA DEL MAR DR
Second Line :
City : APTOS
State : CA
Zip : 95003-4832
Country : US
Telephone Number : 831-334-8423
Fax Number :
Provider Business Practice Location Address
First Line : 251 LLEWELLYN AVE
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-1940
Country : US
Telephone Number : 379-040-8379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 01/25/2026

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Directions to “ GABRIEL LLAMAS ” Practice Location

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