Individual
DR. GARY DAVID GOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD., LOS ANGELES, CA 90048-1865
(310) 967-1884
(310) 967-1744
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 967-1884
(310) 967-1744
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
G64093
CA
Other
Enumeration date
06/27/2006
Last updated
06/21/2016
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