Healthcare Provider Details

I. General information

NPI: 1366453094
Provider Name (Legal Business Name): GUILLERMINA W. ERNI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 N SANBORN RD
SALINAS CA
93905-2218
US

IV. Provider business mailing address

7250 PRINCETON PL
GILROY CA
95020-6012
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-1365
  • Fax: 831-757-2824
Mailing address:
  • Phone: 408-842-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA39788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: