Individual
DR. GAGAN MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7002
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
A170955
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
A170955
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD-42245
IA
Other
Enumeration date
07/17/2012
Last updated
03/14/2023
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