Organization
I S GUJRAL MD
Active
Organization
I S GUJRAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE GONZALEZ (CREDENTIALING MANAGER)
(951) 340-1000
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 30A, LAGUNA HILLS, CA 92653-4343
(949) 716-7981
(949) 716-7982
Mailing address
18 NEWCASTLE LN, LAGUNA NIGUEL, CA 92677-9327
(949) 307-2315
(949) 716-7982
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A49536
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A49536
CA
Other
Enumeration date
06/05/2015
Last updated
07/20/2022
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