Organization
ALAN E. GORENBERG MD, INC.
Active
Other names
Alan E. Gorenberg MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN E. GORENBERG M.D. (PRESIDENT)
(714) 633-4666
Entity
Organization
Contact information
Practice address
8506 E CHAPMAN AVE, ORANGE, CA 92869-2461
(714) 633-4666
(714) 633-4640
Mailing address
8506 E CHAPMAN AVE, ORANGE, CA 92869-2461
(714) 633-4666
(714) 633-4640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G60876
CA
207KA0200X
Allergy Physician
Primary
G60876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730115221
NPI (INDIVIDUAL)
CA
01
—
1770514945
NPI (INCORPERATED)
CA
01
—
G60876
MEDICAL LIC.
CA
Enumeration date
07/06/2006
Last updated
02/12/2016
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