Individual
ALEXIS GANDARILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
191 SAND CREEK RD STE 120, BRENTWOOD, CA 94513-2260
(415) 362-5443
Mailing address
3885 24TH ST, SAN FRANCISCO, CA 94114-3840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10385
NC
363A00000X
Physician Assistant
Primary
60748
CA
Other
Enumeration date
07/24/2018
Last updated
05/15/2026
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