Most Relevant Information
Provider Data
| NPI Number: | 1003834318 |
| Provider Name: | RICHARD GANGNES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2082S0099X |
| Specialty: | Plastic Surgery |
| License Number: | G30030 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 05/05/2010 |
Provider Practice Location
665 CAMINO DE LOS MARES STE 100
SAN CLEMENTE
CA
926732840
Practice Location Phone/Fax
| Phone: | 9492764141 |
| Fax: |
Provider Mailing Location
665 CAMINO DE LOS MARES STE 100
SAN CLEMENTE
CA
926732840
Provider Mailing Phone/Fax
| Phone: | 9492764141 |
| Fax: |