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:
Health care specialties
Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386617421 | NPPES |
Pennsylvania | MEDICAID | 101313657 |
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