Individual
DR. GAURAV GANDOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 W CHAPMAN AVE, ORANGE, CA 92868-2847
(714) 633-4300
(714) 463-3633
Mailing address
1010 W CHAPMAN AVE, ORANGE, CA 92868-2847
(714) 633-4300
(714) 463-3633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD425314
PA
2084P0800X
Psychiatry Physician
Primary
C158794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101313657
—
PA
Enumeration date
02/09/2006
Last updated
05/31/2023
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