Individual provider · Type 1 NPI

Panagiotis Evangelos Gavathas, DO

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number 1316798564 Active

Practice location

11234 Anderson St
Loma Linda, CA 92350-1716

Call (800) 782-2623 Map

Mailing address

3908 Shamrock W
Tallahassee, FL 32309-2230

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X24848 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316798564

Panagiotis Evangelos Gavathas, DO's National Provider Identifier is 1316798564, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 14, 2026.