Healthcare Provider Details

I. General information

NPI: 1366127524
Provider Name (Legal Business Name): ANTOINETTE F LAIOLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 CHESS DR
FOSTER CITY CA
94404-1107
US

IV. Provider business mailing address

2310 OAKMONT DR
SAN BRUNO CA
94066-1740
US

V. Phone/Fax

Practice location:
  • Phone: 510-209-8757
  • Fax:
Mailing address:
  • Phone: 510-209-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: