Gaballa, M
Gaballa, M is an sole proprietor health care provider with primary practice located at 241 Ginocchio Ct , Walnut Creek CA 94598-3613. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Gaballa, M can be contacted via phone (925) 989-6669.Contact Information
Primary practice address
241 Ginocchio Ct
Walnut Creek CA 94598-3613
Phone: (925) 989-6669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 44929 | California |
Profile Details
| NPI number | 1285298000 |
|---|---|
| LBN Legal business name | Gaballa, M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2019 |
| Last updated | Apr 26th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285298000 | NPPES |
| California | MEDICAID | 05 |
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