Healthcare Provider Details

I. General information

NPI: 1447188156
Provider Name (Legal Business Name): GABRIELA NAGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 LA JOLLA BLVD UNIT 352
LA JOLLA CA
92037-6644
US

IV. Provider business mailing address

6455 LA JOLLA BLVD UNIT 352
LA JOLLA CA
92037-6644
US

V. Phone/Fax

Practice location:
  • Phone: 552-199-9093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: