Provider Demographics
NPI:1912652207
Name:CURBELO ZEIDMAN, GABRIELA (LAC)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:CURBELO ZEIDMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 MCKINLEY AVE REAR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1983
Mailing Address - Country:US
Mailing Address - Phone:718-614-7377
Mailing Address - Fax:
Practice Address - Street 1:1285 GILMAN ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94706-2351
Practice Address - Country:US
Practice Address - Phone:718-614-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19224171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist