| Organization Name: | DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION |
| NPI Number: | 1073536215 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J GAJDA (OWNER/PRESIDENT) |
| Mailing Address: | 6283 Clark Rd #11 Paradise |
| State: | CA US |
| Postal Code: | 959694100 |
| Phone Number: | 5308772020 |
| Fax Number: | 5308774641 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |