Individual
GAMAL M. GHONIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5378
(714) 456-5062
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5378
(714) 456-5062
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C54137
CA
208800000X
Urology Physician
ME0080267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C541370
—
CA
05
—
258724600
—
FL
Enumeration date
04/07/2006
Last updated
08/18/2011
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