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Richard Gangnes MD NPI 1003834318

Classification
Plastic Surgery
Type
Plastic Surgery Within the Head and Neck
Specialization
Plastic Surgery Within the Head and Neck
License No.
G30030
License State
CA
Certified
Location

Additional Identifiers

Medical School
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1974
Identifier
Type
State
Identifier: 00G300300
Type: OTHER (01)
State: CA
Identifier: A44266
Type: MEDICARE UPIN (02)
State: CA
Identifier: G30030
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: CA

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
665 CAMINO DE LOS MARES STE 100, SAN CLEMENTE, CA, 926732840
Business Phone
949-276-4141
Mailing Address
665 CAMINO DE LOS MARES STE 100, SAN CLEMENTE, CA, 926732840
Mailing Phone
949-276-4141
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