Provider Demographics
NPI:1922288836
Name:GABRIEL, KARINA BIRUNG (DPT)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:BIRUNG
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14335 WISMAN DR
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3749
Mailing Address - Country:US
Mailing Address - Phone:951-316-3850
Mailing Address - Fax:
Practice Address - Street 1:14335 WISMAN DR
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3749
Practice Address - Country:US
Practice Address - Phone:951-316-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist