Individual
DR. BHAVANA GANDOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MD432232
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD432232
PA
Other
Enumeration date
01/17/2008
Last updated
12/13/2022
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