Organization · Type 2 NPI
Gautam Vangipuram MD Inc
Retina Specialist (Ophthalmology) Physician · Hermosa Beach, CA
NPI number
1699474163
Active
Practice location
555 Pier Ave Ste D
Hermosa Beach, CA 90254-3801
Mailing address
3565 Colonial Ave
Los Angeles, CA 90066-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
About NPI 1699474163
Gautam Vangipuram MD Inc's National Provider Identifier is 1699474163, issued on Feb 23, 2023. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Hermosa Beach, CA. The record was last updated on Feb 23, 2023.