Individual
RENZ LORENZ GATCHALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2416 W TENNYSON RD APT 308, HAYWARD, CA 94545-4158
(510) 909-4689
Mailing address
2416 W TENNYSON RD APT 308, HAYWARD, CA 94545-4158
(510) 909-4689
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90718960F02067
MEDI CAL
CA
01
—
91773198E15141
MEDI CAL
CA
01
—
95873198E89104
MEDI CAL
CA
Enumeration date
09/14/2015
Last updated
09/14/2015
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