Healthcare Provider Details

I. General information

NPI: 1205890043
Provider Name (Legal Business Name): BRANDO GORLERO RN, CSN, PHN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1889 LAWRENCE RD
SANTA CLARA CA
95051-2166
US

IV. Provider business mailing address

10250 N FOOTHILL BLVD APT D11
CUPERTINO CA
95014-0846
US

V. Phone/Fax

Practice location:
  • Phone: 408-423-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95045704
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: