Organization · Type 2 NPI

Gidumal MD PC

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Los Angeles, CA

NPI number 1851218259 Active

Practice location

11820 Mayfield Ave Apt 215
Los Angeles, CA 90049-5771

Fax (646) 801-2480

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007XNone listed

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

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About NPI 1851218259

Gidumal MD PC's National Provider Identifier is 1851218259, issued on Jul 6, 2026. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 6, 2026.