| Gabriel T Fabella Md Inc | |
|
10737 Camino Ruiz Suite 115 San Diego CA 92126-2359 | |
| (858) 695-1262 | |
| (858) 695-2132 |
| Full Name | Gabriel T Fabella Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10737 Camino Ruiz, San Diego, California |
| Authorized Official Name and Position | Gabriel T Fabella (PRESIDENT) |
| Authorized Official Contact | 8586951262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel T Fabella Md Inc 10737 Camino Ruiz Suite 115 San Diego CA 92126-2359 Ph: (858) 695-1262 | Gabriel T Fabella Md Inc 10737 Camino Ruiz Suite 115 San Diego CA 92126-2359 Ph: (858) 695-1262 |
| NPI Number | 1821497066 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 4981680121 |
|---|---|
| Medicare Enrollment ID | O20040721001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821497066 | NPI | - | NPPES |
| A48087 | Other | CA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A48087 (California) | Primary |
| Provider Name | Gabriel T Fabella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124060827 PECOS PAC ID: 3274519046 Enrollment ID: I20040723000731 |
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