Individual
GAUTAM CHAUDHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 206-6575
(310) 206-2057
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 206-6575
(310) 206-2057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A34861
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
A34861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A348610
—
CA
Enumeration date
06/20/2006
Last updated
02/13/2015
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