MEDICARE: GABRIELA TOACHE-GUERRERO NP

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	363L00000X	Nurse Practitioner	NP15549	CA

General Provider Information

NPI Number	:	1609980580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA TOACHE-GUERRERO NP

Provider Business Mailing Address
First Line	:	1798 BAY RD STE A
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-5312
Country	:	US
Telephone Number	:	650-330-7400
Fax Number	:	650-321-1156

Provider Business Practice Location Address
First Line	:	1798-A BAY ROAD
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1953
Country	:	US
Telephone Number	:	650-330-7400
Fax Number	:	650-321-1156

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	02/10/2012

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