Gangnes, Richard

Gangnes, Richard is an individual health care provider with primary practice located at 665 Camino De Los Mares Ste 100 , San Clemente CA 92673-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Gangnes, Richard can be contacted via phone (949) 276-4141.

Contact Information

Primary practice address
665 Camino De Los Mares Ste 100 San Clemente CA 92673-2840
Phone: (949) 276-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X G30030 California

Profile Details

NPI number 1003834318
LBN Legal business name Gangnes, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 5th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003834318 NPPES
California Other 00G300300 BLUE SHIELD

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