Edgar Gamboa is a Surgery in Freedom, California. Edgar Gamboa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Edgar Gamboa is 1265508980. The last update date is 2019-08-29.
Edgar Gamboa's current location address is 243 Green Valley Rd, Freedom, California. You can contact this provider via phone number 8317247874 and fax number 8317244339. The mailing address for Edgar Gamboa is 243 Green Valley Rd, Freedom, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edgar Gamboa |
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Address | 243 Green Valley Rd, Freedom, California |
Phone Number | 8317247874 |
Fax Number | 8317244339 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1265508980 |
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Provider Enumeration Date | 2006-11-27 |
Last Updated Date | 2019-08-29 |
Provider Mailing Address Detail
Address | 243 Green Valley Rd |
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City | Freedom |
State | California (CA) |
Post Code | 950193133 |
Phone Number | 8317247874 |
Fax Number | 8317244339 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | C41857 |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00C418570 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edgar Gamboa by the Centers for Medicare & Medicaid Services?
The Edgar Gamboa has been issued the NPI (National Provider Identifier) 1265508980 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Edgar Gamboa's physical address?
The Edgar Gamboa is physically located at 243 Green Valley Rd, in the city of Freedom, CA, with the postal code 950193133.
What is Edgar Gamboa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar Gamboa's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265508980 to Edgar Gamboa?
The Centers for Medicare & Medicaid Services originally issued the 1265508980 to Edgar Gamboa on 2006-11-27.
When was the Edgar Gamboa's information last updated?
The Edgar Gamboa's information was last updated on 2019-08-29.