Gidumal MD PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

GIDUMAL MD PC

Practice address

11820 Mayfield Ave Apt 215
Los Angeles, CA 90049-5771

Phone

(646) 801-2480

Fax

(646) 801-2480

NPI assigned

Jul 6, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunder Gidumal, MD

Title

Owner

Phone

(917) 566-6720

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1851218259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 MAYFIELD AVE APT 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495771",
            "telephone_number": "646-801-2480",
            "fax_number": "646-801-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MAYFIELD AVE APT 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495771",
            "telephone_number": "646-801-2480",
            "fax_number": "646-801-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDUMAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "GIDUMAL",
        "authorized_official_first_name": "SUNDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-566-6720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanya Gidish, PNP
• Lola Gidron Bayonas, AMFT
• Sigal Giel
• Shelley Ann Gierat, CRNA
• Samantha Giertych, RD
• Zoe Adams Giesberg
• Akiko Giese, FNP

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.