Individual provider · Type 1 NPI

Brandon Tyler Ginkel

Rehabilitation Practitioner · San Luis Obispo, CA

NPI number 1043915432 Active

Practice location

784 High St
San Luis Obispo, CA 93401-5243

Call (805) 540-6500 Map

Fax (805) 540-6501

Mailing address

PO Box 15408
San Luis Obispo, CA 93406-5408

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XMPSS-OPLQSC (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1043915432

Brandon Tyler Ginkel's National Provider Identifier is 1043915432, issued on Apr 4, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 5, 2025.