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Organization

DUR HINIKA SURGICAL, A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUDATA HINIKA MD (OWNER)
(323) 545-9288
Entity
Organization

Contact information

Practice address
5141 CRENSHAW BLVD, LOS ANGELES, CA 90043-1853
(323) 545-9288
(323) 545-9287
Mailing address
5141 CRENSHAW BLVD, LOS ANGELES, CA 90043-1853
(323) 545-9288
(323) 545-9287

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A63029
CA
2086S0127X
Trauma Surgery Physician
A63029
CA

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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