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JOHN E GAMBOA, M.D., P.L.L.C.

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Company Details

Name: JOHN E GAMBOA, M.D., P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Sep 1998 (27 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 36219
Place of Formation: IDAHO
File Number: 36219
ZIP code: 83714
County: Ada County
Principal Address: 9620 W PEBBLE BROOK LANE BOISE, ID 83714
Mailing Address: SUSAN T GAMBOA 9620 W PEBBLE BROOK LN BOISE, ID 83714-1764

Agent

Name Role Address
JOHN E GAMBOA, M.D. Agent 9620 W PEBBLE BROOK LANE, BOISE, ID 83714

Manager

Name Role Address Appointed On
JOHN E GAMBOA MD Manager 9620 W PEBBLE BROOK LANE, BOISE, ID 83714-1764 2020-08-03
JOHN E GAMBOA Manager 9620 W PEBBLE BROOK LANE, BOISE, ID 83714-1764 2021-08-03

National Provider Identifier

NPI Number:
1689607897

Authorized Person:

Name:
DR. JOHN E. GAMBOA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
2083441926

Filing

Filing Name Filing Number Filing date
Annual Report 0005842511 2024-08-05
Annual Report 0005344777 2023-08-03
Annual Report 0004839204 2022-08-03
Annual Report 0004365189 2021-08-03
Annual Report 0003955729 2020-08-03

Paycheck Protection Program

Date Approved:
2021-04-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
96935
Current Approval Amount:
96935
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
97771.56
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
76102
Current Approval Amount:
76102
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
76865.1

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Date of last update: 01 May 2025

Sources: Idaho Secretary of State