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
Fax: (949) 499-2276
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942353230 NPPES
New Mexico MEDICAID 25531824

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