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NPI Code Detail

MEDICARE: GABRIEL ANDREW NEOH RN

MEDICARE: GABRIEL ANDREW NEOH RN
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
1163WP2201XAmbulatory Care Registered Nurse95336469CA

General Provider Information

NPI Number : 1356205215
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL ANDREW NEOH RN
Provider Business Mailing Address
First Line : 4161 CHURCHILL DR
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3518
Country : US
Telephone Number : 925-209-4693
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-437-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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