JOSE C. GAMBOA M.D. INC. NPI 1639243769

NPI Information

JOSE C. GAMBOA, M.D., INC. is a child and adolescent psychiatry psychiatry neurology in Anaheim, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. JOSE C. GAMBOA, M.D., INC. NPI is 1639243769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 S ANAHEIM BLVD
SUITE 214
ANAHEIM, CA
ZIP 92805-851
Phone: (714) 935-7684
Fax: (714) 776-0230

The provider's authorized official is Jose Caguiat Gamboa .
The authorized official title is President-c.e.o. and has the following contact phone number (714) 935-7684.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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