Provider Demographics
NPI:1407722507
Name:GULLAND, RHODORA
Entity type:Individual
Prefix:
First Name:RHODORA
Middle Name:
Last Name:GULLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24965 VIA LARGA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1937
Mailing Address - Country:US
Mailing Address - Phone:949-573-3203
Mailing Address - Fax:
Practice Address - Street 1:24965 VIA LARGA
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1937
Practice Address - Country:US
Practice Address - Phone:949-573-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN513889163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health