Individual
AJAY GURBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 16TH ST STE 2100, SANTA MONICA, CA 90404
(310) 319-1234
(424) 259-6560
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A136215
CA
Other
Enumeration date
04/11/2013
Last updated
10/14/2019
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