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Gautam Vangipuram MD Inc — NPI 1699474163, Hermosa Beach, CA | NPI Central

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NPI 1699474163

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Gautam Vangipuram MD Inc

NPI 1699474163 · Retina Specialist (Ophthalmology) Physician · Hermosa Beach, CA

Provider details

NPI number: 1699474163
Entity type: Organization
Primary specialty: Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Gautam Vangipuram, Physician(815) 342-1739

Specialties & taxonomies

Retina Specialist (Ophthalmology) PhysicianPrimary207WX0107X
Allopathic & Osteopathic Physicians

Practice location

555 Pier Ave Ste D

Hermosa Beach, CA 90254-3801

Phone: (815) 342-1739

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

3565 Colonial Ave

Los Angeles, CA 90066-2708

Other names (DBA / former)

Doing business as: Beach Cities Retina

Registry dates

Enumerated: 2023-02-23
Last updated: 2023-02-23
Certified: 2023-02-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.