| Doctor Name: | VIJAY GYAN |
| NPI Number: | 1396019386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A32197 |
| Business Practice Address: | 9845 San Vincente Ave. Apt. 8 South Gate, CA - 902804840 |
| Business Phone Number: | 3234792422 |
| Business Fax Number: | 3231111111 |
| Mailing Address: | 9845 San Vincente Ave., Apt. 8 SOUTH GATE |
| State: | CA |
| Postal Code: | 902804840 |
| Phone Number: | 3234792422 |
| Fax Number: | 3231111111 |
| NPI Enumeration Date: | 03/08/2012 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A32197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |