Healthcare Provider Details

I. General information

NPI: 1285598912
Provider Name (Legal Business Name): GULOMAR HERNANDEZ BERMUDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5372 MORROW DR.
SAN PABLO CA
94806
US

IV. Provider business mailing address

5372 MORROW DR.
SAN PABLO CA
94806
US

V. Phone/Fax

Practice location:
  • Phone: 510-837-5688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: