Individual
DR. GAUDELIA EBALO-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 567-5800
(510) 568-0225
Mailing address
5025 KEYSTONE DR, FREMONT, CA 94536-7040
(510) 797-4417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A21820
CA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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