Provider Demographics
NPI:1437333028
Name:GARCIA, PAMELA GONZALEZ
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:GONZALEZ
Last Name:GARCIA
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 1:2647 INTERNATIONAL BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1562
Mailing Address - Country:US
Mailing Address - Phone:510-434-7588
Mailing Address - Fax:510-434-7908
Practice Address - Street 1:2647 INTERNATIONAL BLVD STE 600
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1562
Practice Address - Country:US
Practice Address - Phone:510-434-7588
Practice Address - Fax:510-434-7908
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN533857163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health