Organization
GAYTRI MANEK MD INC
Active
Other names
Gaytri Gandotra MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GAYTRI MANEK MD (OWNER)
(714) 435-0150
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, STE 271, FOUNTAIN VALLEY, CA 92708-7501
(714) 435-0150
(714) 436-0126
Mailing address
11180 WARNER AVE, STE 271, FOUNTAIN VALLEY, CA 92708-7501
(714) 435-0150
(714) 436-0126
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092700
—
CA
Enumeration date
04/29/2016
Last updated
08/14/2019
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