Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward D Gaviola

Individual provider Phlebotomy Technician · NPI 1366286577

Edward D Gaviola is a Phlebotomy Technician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

10089 Willow Creek Rd Ste 200
San Diego, CA 92131-1699
Phone: (858) 722-9036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence CPA0002388 (CA)
Phlebotomy Technician Taxonomy 246RP1900X

Record details

NPI number1366286577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address10089 Willow Creek Rd Ste 200, San Diego, CA 92131-1699

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