Provider Demographics
NPI:1962234740
Name:OCHI, GERTRUDE (RN)
Entity type:Individual
Prefix:
First Name:GERTRUDE
Middle Name:
Last Name:OCHI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 SUNGLOW DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-2528
Mailing Address - Country:US
Mailing Address - Phone:352-598-5982
Mailing Address - Fax:352-570-9318
Practice Address - Street 1:1209 SUNGLOW DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-2528
Practice Address - Country:US
Practice Address - Phone:352-598-5982
Practice Address - Fax:352-570-9318
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA837117163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice