Cedric Gabriel Guillory, is a
Student In An Organized Health Care Education/training Program based in Oakland, California. Cedric Gabriel Guillory is licensed to practice in California (license number ) and his current practice location is
280 17th St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 238-5020.
NPI number for Cedric Gabriel Guillory is 1639619315 and his current mailing address is 280 17th St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639619315.
Healthcare Provider's Profile
| Full Name | Cedric Gabriel Guillory |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 280 17th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639619315
- Provider Enumeration Date: 03/01/2017
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Cedric Gabriel Guillory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639619315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedric Gabriel Guillory is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cedric Gabriel Guillory,
280 17th St,
Oakland, CA 94612-4124
Ph: (510) 238-5020 | Cedric Gabriel Guillory,
280 17th St,
Oakland, CA 94612-4124
Ph: (510) 238-5020 |
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