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Provider Information for 1033770060


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GIAN MICHAEL SARABIA


Sex: Male

NPI: 1033770060
Last Updated: 2024-10-16
Certification Date: 2024-10-16

Details

NameValue
NPI1033770060
Enumeration Date2019-06-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1427 MIRAMONTE AVE
LOS ALTOS, CA 94024-5604
United States

Phone: 650-977-2290 | Fax:
 
Primary Practice Address 1427 MIRAMONTE AVE
LOS ALTOS, CA 94024-5604
United States

Phone: 669-977-2290 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist 150458