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Organization
GNOSIS GERIATRIC WELLCARE CENTER INC
Active
Organization
GNOSIS GERIATRIC WELLCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO CANCHOLA MD (MEDICAL DIRECTOR)
(714) 353-5333
Entity
Organization
Contact information
Practice address
12555 GARDEN GROVE BLVD STE 304, GARDEN GROVE, CA 92843-1903
(714) 353-5333
Mailing address
2617 E CHAPMAN AVE, ORANGE, CA 92869-3226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/18/2022
Last updated
04/16/2023
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