Basic Information
| Provider Information | |||||||||
| NPI: | 1366453094 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ERNI | ||||||||
| FirstName: | GUILLERMINA | ||||||||
| MiddleName: | W. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7250 PRINCETON PL | ||||||||
| Address2: | |||||||||
| City: | GILROY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950206012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4088427969 | ||||||||
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| Practice Location | |||||||||
| Address1: | 219 N SANBORN RD | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939052218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317571365 | ||||||||
| FaxNumber: | 8317572824 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2006 | ||||||||
| LastUpdateDate: | 08/18/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A39788 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 00A397880 | 05 | CA | MEDICAID |