Provider Demographics
NPI:1437735735
Name:GAOIRAN, VANESSA (PHARMD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GAOIRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 ALLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2603
Mailing Address - Country:US
Mailing Address - Phone:408-821-6227
Mailing Address - Fax:
Practice Address - Street 1:7400 MACARTHUR BLVD STE A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2939
Practice Address - Country:US
Practice Address - Phone:510-900-3131
Practice Address - Fax:510-638-7590
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist