Individual
GAMINI D HETHUMUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 W LAS TUNAS DR, STE 300, SAN GABRIEL, CA 91776
(626) 281-1851
(626) 281-9062
Mailing address
1527 GLEN OAKS BLVD, PASADENA, CA 91105
(626) 683-8301
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A33433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A334330
—
CA
Enumeration date
11/02/2006
Last updated
07/08/2007
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