MEDICARE: DR. GABRIELA MORENO DILAURO MD

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	207V00000X	Obstetrics & Gynecology Physician	2004-0253	NM

General Provider Information

NPI Number	:	1326189275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELA MORENO DILAURO MD

Provider Business Mailing Address
First Line	:	488 E VALLEY PKWY STE 310
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-3373
Country	:	US
Telephone Number	:	760-658-6101
Fax Number	:	760-658-6106

Provider Business Practice Location Address
First Line	:	488 E VALLEY PKWY STE 310
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-3373
Country	:	US
Telephone Number	:	760-658-6101
Fax Number	:	760-658-6106

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	12/01/2021

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