Organization
ALDO GAMARRA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDO T GAMARRA MD (PRESDIENT)
(661) 579-6088
Entity
Organization
Contact information
Practice address
1658 W AVENUE J, LANCASTER, CA 93534
(661) 579-6088
(661) 438-1743
Mailing address
1658 W AVENUE J, LANCASTER, CA 93534-2814
(661) 579-6088
(661) 438-1743
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A126754
STATE LICENSE
CA
Enumeration date
06/08/2017
Last updated
09/06/2018
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