Provider Demographics
NPI:1952549156
Name:GAMARRA, ALDO T (MD)
Entity Type:Individual
Prefix:MR
First Name:ALDO
Middle Name:T
Last Name:GAMARRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1658 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2814
Mailing Address - Country:US
Mailing Address - Phone:661-579-6088
Mailing Address - Fax:661-438-1743
Practice Address - Street 1:1658 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2814
Practice Address - Country:US
Practice Address - Phone:661-579-6088
Practice Address - Fax:661-438-1743
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2018-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA126754208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery