Individual provider · Type 1 NPI
Ethel Gumban
Assisted Living Facility · San Bruno, CA
NPI number
1073404208
Active
Practice location
2700 Oakmont Dr
San Bruno, CA 94066-1241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 415600425 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in San Bruno
About NPI 1073404208
Ethel Gumban's National Provider Identifier is 1073404208, issued on Jul 15, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Bruno, CA. The record was last updated on Jul 15, 2025.