NPI 1043876162

Kadesh Gamall Gayle, CPO

Practitioner Orthotist Riverside, CA

Practice location

Address: 20595 Spring St, Riverside, CA 92507-0128
Phone: (951) 452-3951

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO04275 (CA)

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Registry record

NPI: 1043876162
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2019
Record last updated: 14 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.