Provider Demographics
NPI:1225999717
Name:SMITH, GINA
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:CORRIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3020 BERNAL AVE STE 110
Mailing Address - Street 2:PMB 3004
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6609
Mailing Address - Country:US
Mailing Address - Phone:408-809-5760
Mailing Address - Fax:
Practice Address - Street 1:3020 BERNAL AVE STE 110
Practice Address - Street 2:PMB 3004
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6609
Practice Address - Country:US
Practice Address - Phone:813-777-0833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach