Individual
DR. ARIEL MONSANTO GAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1673 W BROADWAY STE 6, ANAHEIM, CA 92802-1109
(714) 774-5915
(714) 774-8095
Mailing address
PO BOX 291307, LOS ANGELES, CA 90029-9307
(480) 703-2328
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
A 118822
CA
227800000X
Certified Respiratory Therapist
RCP 18139
CA
363AM0700X
Medical Physician Assistant
PA 15737
CA
Other
Enumeration date
06/10/2008
Last updated
06/27/2022
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