Provider Demographics
NPI:1023626314
Name:SPANDLER, VERONICA GABRIELLA GARCIA
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:GABRIELLA GARCIA
Last Name:SPANDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:415-668-0160
Mailing Address - Fax:415-558-7036
Practice Address - Street 1:2324 SACRAMENTO ST STE 111
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2383
Practice Address - Country:US
Practice Address - Phone:415-668-0160
Practice Address - Fax:415-558-7036
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty