MEDICARE: GMG 3 COLLABORATIVE, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962369264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMG 3 COLLABORATIVE, INC.

Provider Business Mailing Address
First Line	:	1210 CENTRAL BLVD STE 109
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-2360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 CENTRAL BLVD STE 109
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-2360
Country	:	US
Telephone Number	:	925-658-3832
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ CEO
Name	:	GURVINDER KAUR
Credential	:
Telephone Number	:	925-658-3832

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/08/2026

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