Antonio Mejia Gancayco, M.D.
Specialist in Anaheim, CA. Individual provider (NPI-1).
NPI number1104843960
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1104843960
- Entity type
- Individual (NPI-1)
- Name
- Antonio Mejia Gancayco
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | A50208 | CA | Yes |
Practice location
1164 N Euclid StAnaheim, CA 92801-1900
Phone 714-778-0613
Mailing address
1164 N Euclid StAnaheim, CA 92801-1900
Phone 714-778-0613
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