Healthcare Provider Details

I. General information

NPI: 1922910959
Provider Name (Legal Business Name): GIZEL GASTELUM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66211 AGAVE WAY
DESERT HOT SPRINGS CA
92240-8102
US

IV. Provider business mailing address

66211 AGAVE WAY
DESERT HOT SPRINGS CA
92240-8102
US

V. Phone/Fax

Practice location:
  • Phone: 760-343-8188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: