MEDICARE: MS. GABRIELA REMHOF-WARNER RN IBCLC

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	163WL0100X	Lactation Consultant (Registered Nurse)	L302229	CA

General Provider Information

NPI Number	:	1629920947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GABRIELA REMHOF-WARNER RN IBCLC

Provider Business Mailing Address
First Line	:	1738 WHALEY AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-5752
Country	:	US
Telephone Number	:	917-459-2124
Fax Number	:	917-459-2124

Provider Business Practice Location Address
First Line	:	1738 WHALEY AVE
Second Line	:	ADMINISTRATIVE/TELEHEALTH
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-5752
Country	:	US
Telephone Number	:	917-459-2124
Fax Number	:	917-459-2124

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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