Celestial Gabriel Abriz
Individual provider Active NPI Pharmacist · Indio, CA
NPI 1346522208 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1346522208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 63580 (CA)
- Practice address
- 82900 Avenue 42
Indio, CA 92203 - Phone
- (760) 347-3254
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63580 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63580 | CA | Yes |
Addresses
Primary practice location
82900 Avenue 42
Indio, CA 92203
Mailing address
82900 Avenue 42
Indio, CA 92203-9658
Phone (760) 347-3254
Other names
- Dr. Celestial Gabriel Bandoy
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.