Gangnes, Richard
Gangnes, Richard is an individual health care provider with primary practice located at 665 Camino De Los Mares Ste 100 , San Clemente CA 92673-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Gangnes, Richard can be contacted via phone (949) 276-4141.Contact Information
Primary practice address
665 Camino De Los Mares Ste 100
San Clemente CA 92673-2840
Phone: (949) 276-4141
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | G30030 | California |
Profile Details
NPI number | 1003834318 |
---|---|
LBN Legal business name | Gangnes, Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | May 5th, 2010 - about 14 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 | 1003834318 | NPPES |
California | Other | 00G300300 | BLUE SHIELD |
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