MEDICARE: DR. GABRIEL MARCELO ALLENDE D.C.

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	363LF0000X	Family Nurse Practitioner	95017591	CA
2	111N00000X	Chiropractor	DC23492	CA

General Provider Information

NPI Number	:	1538279534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIEL MARCELO ALLENDE D.C.

Provider Business Mailing Address
First Line	:	588 SAN RAMON VALLEY BLVD # 100
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-4012
Country	:	US
Telephone Number	:	925-838-9996
Fax Number	:	925-838-9915

Provider Business Practice Location Address
First Line	:	9925 INTERNATIONAL BLVD STE 5
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94603-2558
Country	:	US
Telephone Number	:	510-994-6849
Fax Number	:	510-550-5644

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/18/2021

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