Individual
BLANCA GAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
4305 TORRANCE BLVD, SUITE 505, TORRANCE, CA 90503-4409
(310) 933-3077
(310) 982-2597
Mailing address
4305 TORRANCE BLVD, SUITE 505, TORRANCE, CA 90503-4409
(310) 933-3077
(310) 982-2597
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
33829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33289
DENTAL LICENSE
CA
Enumeration date
10/07/2015
Last updated
10/07/2015
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