Individual provider · Type 1 NPI

Elizabeth Gamboa, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1619820735 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2594

Call (832) 363-8154 Map

Fax (832) 363-8154

Mailing address

3942 Conde St
San Diego, CA 92110-2815

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP140664 (NY)

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 1619820735

Elizabeth Gamboa, MD's National Provider Identifier is 1619820735, issued on Feb 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Feb 18, 2026.