MEDICARE: ANERI GANDHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	63415	CA

General Provider Information

NPI Number	:	1538592639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANERI GANDHI

Provider Business Mailing Address
First Line	:	3580 GRAND AVE STE K
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3580 GRAND AVE STE K
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-5401
Country	:	US
Telephone Number	:	909-548-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	03/07/2015

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Directions to “ ANERI GANDHI ” Practice Location

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