Individual
GOWRIHARAN THAIYANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6937
Mailing address
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660-8105
(949) 335-7500
(949) 387-1206
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01094949A
IN
207T00000X
Neurological Surgery Physician
13893
NV
207T00000X
Neurological Surgery Physician
Primary
A99924
CA
207T00000X
Neurological Surgery Physician
DR.0059339
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518164110
NPI
CA
Enumeration date
06/28/2007
Last updated
06/27/2025
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