Gandotra, Gaurav

Gandotra, Gaurav is an individual health care provider with primary practice located at 1010 W Chapman Ave , Orange CA 92868-2847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gandotra, Gaurav can be contacted via phone (714) 633-4300.

Contact Information

Primary practice address
1010 W Chapman Ave Orange CA 92868-2847
Phone: (714) 633-4300
Fax: (714) 463-3633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C158794 California
Other Service Providers / Specialist 174400000X MD425314 Pennsylvania

Profile Details

NPI number 1386617421
LBN Legal business name Gandotra, Gaurav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386617421 NPPES
Pennsylvania MEDICAID 101313657

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