Provider Demographics
NPI:1245261791
Name:GAMEZ, CORINNA ALISANGCO (MD)
Entity type:Individual
Prefix:
First Name:CORINNA
Middle Name:ALISANGCO
Last Name:GAMEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:753 4TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3912
Mailing Address - Country:US
Mailing Address - Phone:415-422-0516
Mailing Address - Fax:415-276-1854
Practice Address - Street 1:450 STANYAN STREET
Practice Address - Street 2:5 NORTH MCAULEY INSTITUTE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-596-7834
Practice Address - Fax:415-750-4845
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA690572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A690570Medicare UPIN