Barragan, Gerardo

Barragan, Gerardo is an sole proprietor health care provider with primary practice located at 1796 Bay Rd , East Palo Alto CA 94303-1611. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Barragan, Gerardo can be contacted via phone (650) 462-6999.

Contact Information

Primary practice address
1796 Bay Rd East Palo Alto CA 94303-1611
Phone: (650) 462-6999
Fax: (650) 462-1055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-B1009220905 California

Profile Details

NPI number 1821357260
LBN Legal business name Barragan, Gerardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2012
Last updated May 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821357260 NPPES
California MEDICAID 410027LN
California MEDICAID 410027AN
California MEDICAID 410027BN
California MEDICAID 410027IN

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