Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A31362 | CA |
NPI | 1023163623 |
---|---|
Provider Name | Marappa V Gopinath |
First Address | Tustin, CA 92782-1444 |
Second Address | Tustin, CA 92782-1444 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |