Individual
RATHINARAJ GUNASELVAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST MC A506, LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA, CA 92354
(909) 558-0180
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754952
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000514
CA
Other
Enumeration date
05/10/2016
Last updated
01/19/2017
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