Provider Demographics
NPI:1306710959
Name:GARDOCE, GIGI (APCC)
Entity type:Individual
Prefix:
First Name:GIGI
Middle Name:
Last Name:GARDOCE
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:
Other - Last Name:GARDOCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APCC
Mailing Address - Street 1:1001 FREMONT AVE # 3082
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3224
Mailing Address - Country:US
Mailing Address - Phone:310-402-4427
Mailing Address - Fax:
Practice Address - Street 1:1001 FREMONT AVE # 3082
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3224
Practice Address - Country:US
Practice Address - Phone:310-402-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC20206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health