Individual
BALASUBRAMANIAM GULASEKARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17215 STUDEBAKER RD, SUITE 300, CERRITOS, CA 90703-2548
(562) 924-7307
(562) 860-9398
Mailing address
17215 STUDEBAKER RD, SUITE 300, CERRITOS, CA 90703-2548
(562) 924-7307
(562) 860-9398
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
A35405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A354050
—
CA
Enumeration date
04/12/2006
Last updated
04/17/2019
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