Balakumaran, Gowthamy
Balakumaran, Gowthamy is an individual health care provider with primary practice located at 301 N R St , Lompoc CA 93436-5226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balakumaran, Gowthamy can be contacted via phone (805) 737-6400.Contact Information
Primary practice address
301 N R St
Lompoc CA 93436-5226
Phone: (805) 737-6400
Fax: (805) 737-6430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A67113 | California |
Profile Details
| NPI number | 1396754636 |
|---|---|
| LBN Legal business name | Balakumaran, Gowthamy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396754636 | NPPES |
| California | MEDICAID | 00A671130 | |
| California | Other | A67113 |
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