Provider Demographics
NPI:1508035288
Name:GABOT, NAOMI MIKIKO (RN)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:MIKIKO
Last Name:GABOT
Suffix:
Gender:F
Credentials:RN
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:13944 HUNTERVALE DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3803
Mailing Address - Country:US
Mailing Address - Phone:951-278-2790
Mailing Address - Fax:
Practice Address - Street 1:13944 HUNTERVALE DR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-3803
Practice Address - Country:US
Practice Address - Phone:951-278-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575534367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered