Individual
GERARD GEORGETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 W KATELLA AVE, 150, ORANGE, CA 92867-3451
(714) 399-3480
(714) 399-3481
Mailing address
1855 W KATELLA AVE, 150, ORANGE, CA 92867-3451
(714) 399-3480
(714) 399-3481
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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