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NPI Code Detail

MEDICARE: GEMA GISELLE H MURILLO MA

MEDICARE:   GEMA GISELLE H MURILLO  MA
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
1103TS0200XSchool PsychologistCA

General Provider Information

NPI Number : 1366246597
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEMA GISELLE H MURILLO MA
Provider Business Mailing Address
First Line : 1101 ALBERTA WAY
Second Line :
City : CONCORD
State : CA
Zip : 94521-3747
Country : US
Telephone Number : 925-682-7474
Fax Number :
Provider Business Practice Location Address
First Line : 1101 ALBERTA WAY
Second Line :
City : CONCORD
State : CA
Zip : 94521-3747
Country : US
Telephone Number : 925-682-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2025
Last Update Date : 04/04/2025

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Directions to “ GEMA GISELLE H MURILLO MA” Practice Location

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