Individual provider · Type 1 NPI

Sangita Gautam

Student in an Organized Health Care Education/Training Program · San Pablo, CA

NPI number 1003581927 Active

Practice location

13585 San Pablo Avenue, 1st Floor
San Pablo, CA 94806

Fax (510) 942-4601

Other practice locations

  • 544 International Blvd Apt 9, Oakland, CA 94606-2973 · (510) 444-1671

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003581927

Sangita Gautam's National Provider Identifier is 1003581927, issued on Aug 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pablo, CA. The record was last updated on Jul 11, 2022.