OrganizationActive
Boxidara, Inc.
NPI 1811289317 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Palmdale, CA
Provider details
- NPI number
- 1811289317
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Gambol, President
- License
- G67090 (CA)
Practice location
38660 Medical Center Dr Ste A150
C/O Palmdale Med. Ctr. Wound Care Clinic
Palmdale, CA 93551-4385
Phone: (818) 709-8161
Fax: (818) 709-8160
Mailing address
Po Box 9126
Canoga Park, CA 91309-0126
Registry dates
- Enumerated
- 2011-05-03
- Last updated
- 2018-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.