MEDICARE: ARUN P. GANDHI, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A35115	CA

General Provider Information

NPI Number	:	1154416139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARUN P. GANDHI, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 60790
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91116-6790
Country	:	US
Telephone Number	:	626-795-6596
Fax Number	:	626-795-8247

Provider Business Practice Location Address
First Line	:	1920 E LOS ANGELES AVE
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-3503
Country	:	US
Telephone Number	:	805-306-8800
Fax Number	:	805-306-8818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARUN P. GANDHI
Credential	:	M.D.
Telephone Number	:	818-366-5672

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	02/28/2014

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