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Contact Information

MICHAEL S GAZZANIGA, MD
301 W BASTANCHURY RD #180
FULLERTON, CA92835
 Phone: 714-870-5970
 Fax: 714-870-4792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MICHAEL S GAZZANIGA · (Male)

NPI # 1396858163
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 10/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A65760
  • CA Medicaid 00A65700
Hospital affiliation(s)
  • ST JUDE MEDICAL CENTER - (Acute Care)
    101 E VALENCIA MESA DRIVE
    FULLERTON, CA 92835
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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