Edgar A. Gamboa, M.d. Medical Corp

NPI 1063684561 - Surgery - 208600000X

NPI Details
NPI 1063684561
Enumeration Date 03/25/2008
Last Updated 05/18/2016
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name EDGAR A EDGAR
Position OWNER
Phone (831) 724-7874
Fax (831) 724-4339
Practice Location
243 GREEN VALLEY RD
STE. D
FREEDOM CA, 95019-3133, US
Phone (831) 724-7874
Fax (831) 724-4339
Business Location
243 GREEN VALLEY RD
STE. D
FREEDOM CA, 95019-3133, US
Phone (831) 724-7874
Fax (831) 724-4339
Toxanomy
Taxonomy Code 208600000X
License State California
License Number C41857
Remove 1063684561 NPI Number
 

According to our database, Edgar A. Gamboa, M.d. Medical Corp NPI is 1063684561, taxonomy code is 208600000X and license number is C41857, license state is located at California. Edgar A. Gamboa, M.d. Medical Corp physically located at 243 Green Valley Rd, Freedom CA, 95019-3133. NPI Number 1033115704 has the healthcare provider type.

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1063684561 NPI number is provided on an as is basis without warranty of any kind. 1063684561 is maintained by the National Plan & Provider Enumeration System. The contents of Edgar A. Gamboa, M.d. Medical Corp are for informational purposes only.