Individual
GERARDO GUZMAN VITELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1356 RIDDER PARK DR, SAN JOSE, CA 95131-2313
(408) 225-9163
Mailing address
1356 RIDDER PARK DR, SAN JOSE, CA 95131-2313
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/04/2021
Last updated
04/06/2026
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