Individual
GERI GERARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
(619) 232-7048
Mailing address
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110-3844
(619) 275-0822
(619) 275-1422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN707760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588617955
CLINIC NPI
CA
05
—
FHC70530F
—
CA
05
—
HAP70530F
—
CA
Enumeration date
05/19/2009
Last updated
03/12/2020
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