Provider Demographics
NPI:1295196814
Name:GATUZ, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:GATUZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 N 10TH ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2970
Mailing Address - Country:US
Mailing Address - Phone:415-572-7007
Mailing Address - Fax:
Practice Address - Street 1:111 ANZA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1932
Practice Address - Country:US
Practice Address - Phone:510-690-1930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist