Gudino, Omar Gabriel

Gudino, Omar Gabriel is an individual health care provider with primary practice located at 2000 Alameda De Las Pulgas Ste 242 , San Mateo CA 94403-1271. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Gudino, Omar Gabriel can be contacted via phone (650) 931-6565.

Contact Information

Primary practice address
2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271
Phone: (650) 931-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 34415 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 018596 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 018596 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 34415 California

Profile Details

NPI number 1699899674
LBN Legal business name Gudino, Omar Gabriel
Credentials PH.D., ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Nov 2nd, 2023 - about 2 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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