Gulasekaram, Balasubramaniam

Gulasekaram, Balasubramaniam is an sole proprietor health care provider with primary practice located at 17215 Studebaker Rd Suite 300, Cerritos CA 90703-2548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, which is considered as his primary health care specialty. Gulasekaram, Balasubramaniam can be contacted via phone (562) 924-7307.

Contact Information

Primary practice address
17215 Studebaker Rd Suite 300 Cerritos CA 90703-2548
Phone: (562) 924-7307
Fax: (562) 860-9398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X A35405 California

Profile Details

NPI number 1396709994
LBN Legal business name Gulasekaram, Balasubramaniam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Apr 17th, 2019 - about 5 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 1396709994 NPPES
California MEDICAID 00A354050

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