Gautam Vangipuram Md Inc

LBN: Gautam Vangipuram Md Inc
Gautam Vangipuram Md Inc is an health care organization with primary practice located at 555 Pier Ave Ste D , Hermosa Beach CA 90254-3801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Gautam Vangipuram Md Inc can be contacted via phone (815) 342-1739, or through Vangipuram, Gautam via phone (815) 342-1739.

Contact Information

Primary practice address
555 Pier Ave Ste D Hermosa Beach CA 90254-3801
Phone: (815) 342-1739
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vangipuram, Gautam Doctor of Medicine (MD)
Phone: (815) 342-1739

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1699474163
LBN Legal business name Gautam Vangipuram Md Inc
DBA Doing business as
Authorized official Vangipuram, Gautam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2023
Last updated Feb 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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