Desilva, Gayani Vatsala
Desilva, Gayani Vatsala is an sole proprietor health care provider with primary practice located at 32392 Coast Hwy Ste 250, Laguna Beach CA 92651-6776. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Desilva, Gayani Vatsala can be contacted via phone (949) 499-2265.Contact Information
Primary practice address
32392 Coast Hwy Ste 250
Laguna Beach CA 92651-6776
Phone: (949) 499-2265
Fax: (949) 499-2276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A81916 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD2008-0822 | New Mexico |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A81916 | California |
Profile Details
| NPI number | 1942353230 |
|---|---|
| LBN Legal business name | Desilva, Gayani Vatsala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 27th, 2017 - about 7 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 | 1942353230 | NPPES |
| New Mexico | MEDICAID | 25531824 |
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