NPI

Dr. Rafael Gamboa

NPI 1649378324

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2006-09-20
Last updated
2020-08-22

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Specialties

Licenses

License NV
913

Location

Practice location
1601 Lakeside Dr
City
Reno NV
Postal code
89509-3408
Phone
(775) 322-8610

Organization contact

Name
Rafael Gamboa
Title
President
Phone
(775) 322-8610

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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