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NPI Code Detail

MEDICARE: IAJAYRA GALLARDO

MEDICARE: IAJAYRA GALLARDO
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1710812847
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAJAYRA GALLARDO
Provider Business Mailing Address
First Line : 116 HARLAN ST
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-5821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2828 FORD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2114
Country : US
Telephone Number : 510-268-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ IAJAYRA GALLARDO ” Practice Location

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