Individual
ILA GAUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-4000
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12427
CA
Other
Enumeration date
04/19/2023
Last updated
06/10/2024
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