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Organization

JOSE C. GAMBOA, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE CAGUIAT GAMBOA M.D. (PRESIDENT-C.E.O.)
(714) 935-7684
Entity
Organization

Contact information

Practice address
1020 S ANAHEIM BLVD, SUITE 214, ANAHEIM, CA 92805-5851
(714) 935-7684
(714) 776-0230
Mailing address
PO BOX 6334, ANAHEIM, CA 92816-0334
(714) 935-7684
(714) 776-0230

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A45291
CA

Other

Enumeration date
11/20/2006
Last updated
07/30/2009
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