Most Relevant Information
Provider Data
| NPI Number: | 1003371741 |
| Provider Name: | VIRGIL GABA BAGAOISAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2019 |
| Last Updated: | 02/06/2019 |
Provider Practice Location
390 40TH ST
OAKLAND
CA
946092633
Practice Location Phone/Fax
| Phone: | 5103065361 |
| Fax: |
Provider Mailing Location
390 40TH ST
OAKLAND
CA
946092633
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |