Moises Gamboa
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1962392852
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1962392852
- Entity type
- Individual (NPI-1)
- Name
- Moises Gamboa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2025
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
7617 Alma Vista Way Ste CSacramento, CA 95831-4000
Phone 916-556-3344
Mailing address
7617 Alma Vista Way Ste CSacramento, CA 95831-4000
Phone 916-556-3344
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