Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gnosis Geriatric Wellcare Center Inc

Organization Family Medicine Physician · NPI 1962145029

Gnosis Geriatric Wellcare Center Inc is a Family Medicine Physician in Garden Grove, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12555 Garden Grove Blvd Ste 304
Garden Grove, CA 92843-1903
Phone: (714) 353-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1962145029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Canchola — Medical Director · (714) 353-5333
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 16, 2023
Certification dateApril 16, 2023
Mailing address2617 E Chapman Ave, Orange, CA 92869-3226

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