Individual
GABRIEL POLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
08/29/2025
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