Individual
DALIA JENNIFER GOURGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10904 REAGAN ST, LOS ALAMITOS, CA 90720-2435
(562) 596-3140
(562) 596-3142
Mailing address
PO BOX 398993, SAN FRANCISCO, CA 94139-8993
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G81125
CA
Other
Enumeration date
08/04/2006
Last updated
12/04/2019
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