Provider Demographics
NPI:1720232184
Name:GARILLI, BIANCA MARIA (ND)
Entity Type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:MARIA
Last Name:GARILLI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27405 PUERTA REAL STE 150
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6366
Mailing Address - Country:US
Mailing Address - Phone:949-359-1199
Mailing Address - Fax:
Practice Address - Street 1:27405 PUERTA REAL STE 150
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6366
Practice Address - Country:US
Practice Address - Phone:949-359-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath