Healthcare Provider Details

I. General information

NPI: 1699324988
Provider Name (Legal Business Name): GABRIELA URQUIZA OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELA GARCIA

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 S HARBOR BLVD
ANAHEIM CA
92802-2309
US

IV. Provider business mailing address

1313 S HARBOR BLVD
ANAHEIM CA
92802-2309
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number17279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: