Individual
GERALD T GAMBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-5754
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583590
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
082580
CA
Other
Enumeration date
06/16/2008
Last updated
12/21/2017
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