Individual
CAROL A GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 S SHORE CTR W, SUITE D, ALAMEDA, CA 94501-5762
(510) 864-0660
(510) 864-0393
Mailing address
PO BOX 211414, CHULA VISTA, CA 91921-1414
(619) 600-4230
(866) 633-4209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G62236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G622360
—
CA
Enumeration date
08/22/2006
Last updated
09/14/2016
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