Individual
MR. ALDRICH JERENY GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(888) 562-5442
Mailing address
10 GREEN STREET, UNIT 4 PMB 1053, WOODBRIDGE, NJ 07095
(929) 813-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
712220-1
NY
363LF0000X
Family Nurse Practitioner
Primary
352113
NY
Other
Enumeration date
03/14/2016
Last updated
09/12/2025
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