Individual
VIJAY GYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9845 SAN VINCENTE AVE., APT. 8, SOUTH GATE, CA 90280-4840
(323) 479-2422
(323) 111-1111
Mailing address
9845 SAN VINCENTE AVE., APT. 8, SOUTH GATE, CA 90280-4840
(323) 479-2422
(323) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A32197
CA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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