Individual
MR. AURELIO GAMBOA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3188 AIRWAY AVE, SUITE F, COSTA MESA, CA 92626-4652
(714) 689-1380
(714) 689-1381
Mailing address
3188 AIRWAY AVE STE F, COSTA MESA, CA 92626-4652
(714) 689-1380
(714) 689-1381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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