Edgar A. Gamboa, M.d. Medical Corp

NPI #1063684561 in Freedom, California

Provider Information

NPI Number: 1063684561
Entity Type: Organization
Organization Name: Edgar A. Gamboa, M.d. Medical Corp
Primary Specialty: Surgery
Enumeration Date: Mar 25, 2008
Last Updated: May 18, 2016

Practice Location

Address: 243 GREEN VALLEY RD
Address 2: STE. D
City: Freedom
State: California
ZIP Code: 95019-3133
Phone: (831) 724-7874

Authorized Official

Name: DR. EDGAR A GAMBOA, MD
Title: OWNER
Phone: (831) 724-7874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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