Individual
JOSE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 S ANAHEIM BLVD STE 214, ANAHEIM, CA 92805-5808
(714) 935-6363
(714) 935-8112
Mailing address
PO BOX 6334, ANAHEIM, CA 92816-0334
(714) 935-6363
(714) 935-8112
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A45291
CA
Other
Enumeration date
10/20/2006
Last updated
07/30/2009
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