Search › California › 101YM0800X
Gary Showalter
NPI 1588337208 · on the registry since 2021 · sole proprietor
Practice
- Address
- 17837 San Rafael St
Fountain Valley, CA 92708 - Phone
- (714) 968-3907
Additional practice sites
- 9091 Caladium Ave, Fountain Valley, CA
- 921 Dahlia Ave, Costa Mesa, CA
- 1065 Santa Cruz Cir, Costa Mesa, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California