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Gerardo Canchola Md, Inc.
General Practice Physician in Santa Ana, California
NPI 1487191516

Gerardo Canchola Md, Inc. is a General Practice Physician based in Santa Ana, CA. Gerardo Canchola Md, Inc. practices in Santa Ana, CA. The NPI Number for Gerardo Canchola Md, Inc. is 1487191516 and holds a License No. G55328 (California).

The current practice location address for Gerardo Canchola Md, Inc. is 2621 S Bristol St Ste 308, Santa Ana, CA and can be reached out via phone at 714-662-7710 and via fax at 714-662-4407.

Location: 2621 S Bristol St Ste 308, Santa Ana, CA, 92704-5719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487191516
Provider Name
Gerardo Canchola Md, Inc.
Credential
Provider Entity Type
Organization
Address
2621 S Bristol St Ste 308, Santa Ana, CA, 92704-5719
Phone Number
714-662-7710
Fax Number
714-662-4407
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2621 S Bristol St Ste 308
City
Santa Ana
State
California
Zip
92704-5719
Phone Number
714-662-7710
Fax Number
714-662-4407
person
Provider Business Mailing Address Details
Address
2621 S Bristol St Ste 308
City
Santa Ana
State
California
Zip
92704-5719
Phone Number
714-662-7710
Fax Number
714-662-4407
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G55328 (California)
Definition
Definition to come...
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