Most Relevant Information
Provider Data
| NPI Number: | 1003581927 |
| Provider Name: | SANGITA GAUTAM |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2021 |
| Last Updated: | 07/11/2022 |
Provider Practice Location
13585 SAN PABLO AVENUE
1ST FLOOR
SAN PABLO
CA
94806
Practice Location Phone/Fax
| Phone: | 5102308121 |
| Fax: | 5109424601 |
Provider Mailing Location
13585 SAN PABLO AVENUE
1ST FLOOR
SAN PABLO
CA
94806
Provider Mailing Phone/Fax
| Phone: | 5109424600 |
| Fax: |