Provider Demographics
NPI:1538279534
Name:ALLENDE, GABRIEL MARCELO (DC)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:MARCELO
Last Name:ALLENDE
Suffix:
Gender:M
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:588 SAN RAMON VALLEY BLVD # 100
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4012
Mailing Address - Country:US
Mailing Address - Phone:925-838-9996
Mailing Address - Fax:925-838-9915
Practice Address - Street 1:9925 INTERNATIONAL BLVD STE 5
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-2558
Practice Address - Country:US
Practice Address - Phone:510-994-6849
Practice Address - Fax:510-550-5644
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95017591363LF0000X
CADC23492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23492Medicare ID - Type Unspecified