Individual provider · Type 1 NPI

Gaudelia Ebalo-Reyes, MD

Specialist · Oakland, CA

NPI number 1639362858 Active

Practice location

6955 Foothill Blvd Ste 200
Oakland, CA 94605-2426

Call (510) 567-5800 Map

Fax (510) 568-0225

Mailing address

5025 Keystone Dr
Fremont, CA 94536-7040

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA21820 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639362858

Gaudelia Ebalo-Reyes, MD's National Provider Identifier is 1639362858, issued on Aug 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Aug 21, 2007.