| Doctor Name: | PHYLLIS TUBBS-GINGERICH |
| NPI Number: | 1538208459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. BSN, LE, CLT |
| License Number: | A236621 |
| Business Practice Address: | 16130 Juan Hernandez Dr Ste 108 Morgan Hill, CA - 950375527 |
| Business Phone Number: | 4087821028 |
| Business Fax Number: | 4087821061 |
| Mailing Address: | 16130 Juan Hernandez Dr Ste 108, MORGAN HILL |
| State: | CA |
| Postal Code: | 950375527 |
| Phone Number: | 4087821028 |
| Fax Number: | 4087821061 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | A236621 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |