Individual
ANTONIO MEJIA GANCAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1164 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 778-0613
Mailing address
1164 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 778-0613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50208
CA
Other
Enumeration date
07/17/2006
Last updated
01/20/2012
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