Healthcare Provider Details

I. General information

NPI: 1821369877
Provider Name (Legal Business Name): KUMAR S GANDHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E CHAPMAN AVE
ORANGE CA
92866-2237
US

IV. Provider business mailing address

18650 MACARTHUR BLVD STE 450
IRVINE CA
92612-1253
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-4600
  • Fax:
Mailing address:
  • Phone: 949-688-7075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA122756
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: