Healthcare Provider Details

I. General information

NPI: 1760349310
Provider Name (Legal Business Name): ANDREW GEHR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PROSPECT PL
CORONADO CA
92118-1943
US

IV. Provider business mailing address

8655 MISSION SAN CARLOS DR UNIT 70
SANTEE CA
92071-6342
US

V. Phone/Fax

Practice location:
  • Phone: 805-630-4671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: