Individual
MR. GERARDO VIDAL CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 UNIVERSITY AVE, BERKELEY, CA 94704-1023
(510) 809-3004
(510) 809-3240
Mailing address
2215 SAN JOSE AVE APT B, ALAMEDA, CA 94501-4954
(510) 510-8385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136
—
CA
Enumeration date
07/11/2007
Last updated
07/15/2025
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