Most Relevant Information
Provider Data
| NPI Number: | 1003077694 |
| Provider Name: | AUTUMN NICOLE GAUNA |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 05/10/2013 |
Provider Practice Location
5200 LANKERSHIM BLVD STE 170
NORTH HOLLYWOOD
CA
916013184
Practice Location Phone/Fax
| Phone: | 2132165473 |
| Fax: | 2132165473 |
Provider Mailing Location
623 N MADISON AVE
PASADENA
CA
911011109
Provider Mailing Phone/Fax
| Phone: | 6263049740 |
| Fax: |