Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHEL GUMBAN
Active Sole ProprietorETHEL GUMBAN is a Assisted Living Facility healthcare provider located in SAN BRUNO, California. NPI 1073404208 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SAN BRUNO, CA
Registration Details
- NPI Number
- 1073404208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2025 (1.1259001176556 yrs)
- Last Updated
- Jul 15, 2025
- License
-
415600425 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2700 OAKMONT DRSAN BRUNO, CA, 940661241Browse CA providers · Browse ZIP 94066
- Phone
- 6505833496
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.