GNOSIS GERIATRIC WELLCARE CENTER INC NPI 1962145029

NPI Information

GNOSIS GERIATRIC WELLCARE CENTER INC is a family medicine in Garden Grove, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GNOSIS GERIATRIC WELLCARE CENTER INC NPI is 1962145029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12555 GARDEN GROVE BLVD STE 304
GARDEN GROVE, CA
ZIP 92843-903
Phone: (714) 353-5333

The provider's authorized official is Gerardo Canchola .
The authorized official title is Medical Director and has the following contact phone number (714) 353-5333.

The CLIA number assigned to this NPI record is 05D2287078 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/16/2023.

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:

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