Individual
DR. GABRIELLE M CERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
(619) 906-4564
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G76229
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G76229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G762290
—
CA
Enumeration date
07/05/2006
Last updated
12/04/2015
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