Individual
DR. GOPAL GOVINDARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.C.
Contact information
Practice address
1640 W. THIRD ST., LOS ANGELES, CA 90017
(213) 483-1251
(213) 483-8577
Mailing address
101 E. BEVERLY BLVD., SUITE 302, MONTEBELLO, CA 90640
(323) 728-8181
(323) 724-9725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A30202
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A30202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302020
—
CA
Enumeration date
10/05/2005
Last updated
09/24/2010
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