Provider Demographics
NPI:1346443199
Name:TOBIAS, GILBERT S
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:S
Last Name:TOBIAS
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 1:2269 WARFIELD WAY UNIT C
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-3657
Mailing Address - Country:US
Mailing Address - Phone:408-294-9280
Mailing Address - Fax:408-294-9280
Practice Address - Street 1:2269 WARFIELD WAY UNIT C
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-3657
Practice Address - Country:US
Practice Address - Phone:408-294-9280
Practice Address - Fax:408-294-9280
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2005969307247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other