Healthcare Provider Details

I. General information

NPI: 1184030843
Provider Name (Legal Business Name): MRS. GABRIELA PINEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 S PROSPECT AVE APT 46
REDONDO BEACH CA
90277-3563
US

IV. Provider business mailing address

320 S PROSPECT AVE APT 46
REDONDO BEACH CA
90277-3563
US

V. Phone/Fax

Practice location:
  • Phone: 310-266-4172
  • Fax:
Mailing address:
  • Phone: 310-266-4172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number103749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: