Organization
ANAHEIM FAMILY CARE
Active
Parent organization
ANAHEIM FAMILY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANAHEIM FAMILY CARE
Authorized official
GERARDO CANCHOLA M.D. (PRESIDENT)
(714) 535-1415
Entity
Organization
Contact information
Practice address
947 S ANAHEIM BLVD STE 270, ANAHEIM, CA 92805-5584
(714) 535-1415
(714) 533-0237
Mailing address
947 S ANAHEIM BLVD STE 270, ANAHEIM, CA 92805-5584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/22/2010
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