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Organization
GERARDO CANCHOLA MD, INC.
Active
Organization
GERARDO CANCHOLA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO CANCHOLA M.D. (OWNER)
(714) 662-7710
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST STE 308, SANTA ANA, CA 92704-5719
(714) 662-7710
(714) 662-4407
Mailing address
2621 S BRISTOL ST STE 308, SANTA ANA, CA 92704-5719
(714) 662-7710
(714) 662-4407
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
G55328
CA
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
11/15/2022
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