Provider Demographics
NPI:1144115759
Name:GOCHANGCO, ROLANDO UNTALAN (SAINT VINCENT HEALTH)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:UNTALAN
Last Name:GOCHANGCO
Suffix:
Gender:M
Credentials:SAINT VINCENT HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 VOYAGER DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-4013
Mailing Address - Country:US
Mailing Address - Phone:707-392-9948
Mailing Address - Fax:
Practice Address - Street 1:253 VOYAGER DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-4013
Practice Address - Country:US
Practice Address - Phone:707-392-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11719434253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care