# GAMBLE MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477941078
- **Authorized official:** DR. BRIAN KEITH GAMBLE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 530-3322

## Contact information

- **Practice address:** 12570 BROOKHURST ST STE 1, GARDEN GROVE, CA 92840-4882
- **Practice address phone:** (714) 530-0322
- **Mailing address:** 12570 BROOKHURST ST STE 1, GARDEN GROVE, CA 92840-4882
- **Mailing address phone:** (714) 530-0322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | A76121 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 01/05/2015