Individual
MICHAEL SCOTT GAZZANIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W BASTANCHURY RD #180, FULLERTON, CA 92835
(714) 870-5970
(714) 870-4792
Mailing address
301 W BASTANCHURY RD #180, FULLERTON, CA 92835
(714) 870-5970
(714) 870-4792
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A65760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A65700
—
CA
Enumeration date
08/16/2006
Last updated
10/15/2012
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