| Jose C. Gamboa, M.d., Inc. | |
|
1020 S Anaheim Blvd Suite 214 Anaheim CA 92805-5851 | |
| (714) 935-7684 | |
| (714) 776-0230 |
| Full Name | Jose C. Gamboa, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1020 S Anaheim Blvd, Anaheim, California |
| Authorized Official Name and Position | Jose Caguiat Gamboa (PRESIDENT-C.E.O.) |
| Authorized Official Contact | 7149357684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose C. Gamboa, M.d., Inc. Po Box 6334 Anaheim CA 92816-0334 Ph: (714) 935-7684 | Jose C. Gamboa, M.d., Inc. 1020 S Anaheim Blvd Suite 214 Anaheim CA 92805-5851 Ph: (714) 935-7684 |
| NPI Number | 1639243769 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 07/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639243769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A45291 (California) | Primary |
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