Individual
MRS. GUADALUPE GAMBOA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 N STATE ST, ROOM 3000, LOS ANGELES, CA 90033-1029
(323) 409-2196
Mailing address
1200 N STATE ST, ROOM 3000, LOS ANGELES, CA 90033-1029
(323) 409-2196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA13264
CA
Other
Enumeration date
02/14/2007
Last updated
06/11/2015
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