Provider Demographics
NPI:1043461387
Name:SERRATO, GABRIELA
Entity Type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:
Last Name:SERRATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-4230
Mailing Address - Country:US
Mailing Address - Phone:714-491-4896
Mailing Address - Fax:
Practice Address - Street 1:697 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4622
Practice Address - Country:US
Practice Address - Phone:714-535-7508
Practice Address - Fax:714-535-4086
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT8464237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHT8464OtherHEARING AID DISPENSER TRAINEE LICENSE