| Doctor Name: | GAURI KOLHATKAR |
| NPI Number: | 1245458520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | A94390 |
| Business Practice Address: | 4650 W Sunset Blvd Msc #76 Los Angeles, CA - 900276062 |
| Business Phone Number: | 3236692432 |
| Business Fax Number: | |
| Mailing Address: | 6430 W Sunset Blvd Ste 600, LOS ANGELES |
| State: | CA |
| Postal Code: | 900287909 |
| Phone Number: | 3236692337 |
| Fax Number: | 3236448491 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A94390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |