Individual
ALESSANDRA A GORGULHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ, SUITE 200, LOS ANGELES, CA 90095-0001
(310) 794-1801
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
F5644
CA
208600000X
Surgery Physician
Primary
F5644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F56440
—
CA
Enumeration date
05/13/2011
Last updated
01/13/2012
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