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Organization

EDGAR A. GAMBOA, M.D. MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDGAR A GAMBOA MD (OWNER)
(831) 724-7874
Entity
Organization

Contact information

Practice address
243 GREEN VALLEY RD, STE. D, FREEDOM, CA 95019-3133
(831) 724-7874
(831) 724-4339
Mailing address
243 GREEN VALLEY RD, STE. D, FREEDOM, CA 95019-3133
(831) 724-7874
(831) 724-4339

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C41857
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C418570
CA
Enumeration date
03/25/2008
Last updated
05/18/2016
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