Healthcare Provider Details

I. General information

NPI: 1114977881
Provider Name (Legal Business Name): MAGGIE A. GAMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/09/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27450 YNEZ RD STE 100
TEMECULA CA
92591-4649
US

IV. Provider business mailing address

16300 SAND CANYON AVE STE 711
IRVINE CA
92618-3707
US

V. Phone/Fax

Practice location:
  • Phone: 951-383-4333
  • Fax: 951-506-2361
Mailing address:
  • Phone: 949-404-3060
  • Fax: 949-203-6446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA87950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: