Individual
GABRIELLA CARDOZA-FAVARATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 634-3230
(858) 794-4061
Mailing address
PO BOX 1000, MEDFORD, OR 97501-0071
(210) 437-2578
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A74694
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD193952
OR
Other
Enumeration date
02/17/2006
Last updated
07/08/2021
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