Provider Demographics
NPI:1376426551
Name:GAIED, MARIAN
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:GAIED
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 1:1159 SAINT MATTHEW PL APT 105
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-1870
Mailing Address - Country:US
Mailing Address - Phone:925-993-8779
Mailing Address - Fax:
Practice Address - Street 1:1159 SAINT MATTHEW PL APT 105
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-1870
Practice Address - Country:US
Practice Address - Phone:925-993-8779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist