Healthcare Provider Details

I. General information

NPI: 1881482511
Provider Name (Legal Business Name): GILLIAN TAMARA HOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N BRAND BLVD STE 700
GLENDALE CA
91203-2336
US

IV. Provider business mailing address

640 19TH AVE APT 105
SAN MATEO CA
94403-1447
US

V. Phone/Fax

Practice location:
  • Phone: 650-822-9373
  • Fax:
Mailing address:
  • Phone: 650-822-9373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: