MEDICARE: GABRIELLA GALLARDO MUELLER LCSW

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
1	1041C0700X	Clinical Social Worker	111866	CA

General Provider Information

NPI Number	:	1053920017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA GALLARDO MUELLER LCSW

Provider Business Mailing Address
First Line	:	1688 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5413
Country	:	US
Telephone Number	:	626-282-0288
Fax Number	:

Provider Business Practice Location Address
First Line	:	1668 S GARFIELD AVE FL 2
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5400
Country	:	US
Telephone Number	:	626-282-0288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	01/16/2026

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