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Nathaniel Gandy Lane, PA-C
Medical Physician Assistant in Santa Ana, California
NPI 1528427994

Nathaniel Gandy Lane is a Medical Physician Assistant based in Santa Ana, CA and is specialized in Medical. Nathaniel Gandy Lane practices in Santa Ana, CA and has the professional credentials of PA-C. The NPI Number for Nathaniel Gandy Lane is 1528427994 and holds a License No. 53182 (California).

The current practice location address for Nathaniel Gandy Lane is 420 S. Bristol St., Santa Ana, CA and can be reached out via phone at 714-541-5252.

Location: 420 S. Bristol St., Santa Ana, CA, 92703-4527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528427994
Provider Name
Nathaniel Gandy Lane
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
420 S. Bristol St., Santa Ana, CA, 92703-4527
Phone Number
714-541-5252
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 S. Bristol St.
City
Santa Ana
State
California
Zip
92703
Phone Number
714-541-5252
Fax Number
person
Provider Business Mailing Address Details
Address
420 S. Bristol St.
City
Santa Ana
State
California
Zip
92703
Phone Number
714-541-5252
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
53182 (California)
Definition
Definition to come...
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