MEDICARE: DR. GEMA HIGUERA DDS

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
1	122300000X	Dentist	112427	CA

General Provider Information

NPI Number	:	1518821479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEMA HIGUERA DDS

Provider Business Mailing Address
First Line	:	2737 PIKAKE ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-4271
Country	:	US
Telephone Number	:	619-642-6178
Fax Number	:

Provider Business Practice Location Address
First Line	:	2939 ALTA VIEW DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92139-3394
Country	:	US
Telephone Number	:	619-267-8772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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