Individual
MR. JOSE G GANCAYCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9888 GENESEE AVE., SAN DIEGO, CA 92037
(858) 678-7000
Mailing address
9229 REGENTS RD, UNIT # L225, LA JOLLA, CA 92037-9199
(914) 625-8901
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
665064
CA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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