Individual
AMAL A GERGIS-AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(714) 456-7002
Mailing address
3150 HEATHER RD, LONG BEACH, CA 90808-3438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11700
CA
Other
Enumeration date
05/16/2011
Last updated
12/03/2021
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