Individual
DR. EDGAR GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 GREEN VALLEY RD, STE. D, FREEDOM, CA 95019-3133
(831) 724-7874
(831) 724-4339
Mailing address
576 HARTNELL ST, STE 200, MONTEREY, CA 93940-2834
(831) 324-0176
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C41857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C418570
—
CA
Enumeration date
11/27/2006
Last updated
08/29/2019
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