Individual
GAUTAM ANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11878 AVENUE OF INDUSTRY, SAN DIEGO, CA 92128-3423
(619) 320-8070
(930) 222-3073
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A188324
CA
Other
Enumeration date
05/21/2019
Last updated
10/20/2023
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