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Individual

DR. SHANTHI GOWRINATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1301 20TH ST STE 540, SANTA MONICA, CA 90404-2118
(310) 582-7641
(310) 315-4069
Mailing address
1301 20TH ST STE 145, SANTA MONICA, CA 90404-2050
(310) 582-7641

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A119204
CA
2084P0800X
Psychiatry Physician
A119204
CA

Other

Enumeration date
12/21/2011
Last updated
09/13/2021
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