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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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