Individual
GAYATHRI SELVAKKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
207 S SANTA ANITA AVE, SAN GABRIEL, CA 91776-1146
(626) 576-0800
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5637
(818) 837-5589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A114147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1141470
—
CA
Enumeration date
05/24/2011
Last updated
08/27/2012
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