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NPI Code Detail

MEDICARE: DR. ALYSE GABRIEL D.O.

MEDICARE:  DR. ALYSE  GABRIEL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician20A8893CA

General Provider Information

NPI Number : 1053329144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYSE GABRIEL D.O.
Provider Business Mailing Address
First Line : 2415 UNIVERSITY AVE
Second Line : 3RD FLOOR
City : EAST PALO ALTO
State : CA
Zip : 94303-1164
Country : US
Telephone Number : 650-363-4030
Fax Number :
Provider Business Practice Location Address
First Line : 2415 UNIVERSITY AVE
Second Line : 3RD FLOOR
City : EAST PALO ALTO
State : CA
Zip : 94303-1164
Country : US
Telephone Number : 650-363-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 12/18/2020

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Directions to “ DR. ALYSE GABRIEL D.O.” Practice Location

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