Healthcare Provider Details

I. General information

NPI: 1457483992
Provider Name (Legal Business Name): GBM INVESTMENTS & TRADING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 BILLINGS RD
CONCORD CA
94519-2805
US

IV. Provider business mailing address

1785 BILLINGS RD
CONCORD CA
94519-2805
US

V. Phone/Fax

Practice location:
  • Phone: 925-689-6551
  • Fax: 925-676-2678
Mailing address:
  • Phone: 925-689-6551
  • Fax: 925-676-2678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. DENNISA ELLEN SQUIRE
Title or Position: ADMINISTRATOR
Credential:
Phone: 925-689-6551