institution
Indravadan A Dave Md Inc
General Practice Physician in Los Angeles, California
NPI 1609916048

Indravadan A Dave Md Inc is a General Practice Physician based in Los Angeles, CA. Indravadan A Dave Md Inc practices in Los Angeles, CA. The NPI Number for Indravadan A Dave Md Inc is 1609916048 and holds a License No. C41876 (California).

The current practice location address for Indravadan A Dave Md Inc is 274 One And Half S Rampart Blvd, Los Angeles, CA and can be reached out via phone at 213-389-5570 and via fax at 213-389-5578.

Location: 274 One And Half S Rampart Blvd, Los Angeles, CA, 90057-1404
institution
Provider Profile Details
NPI Number
1609916048
Provider Name
Indravadan A Dave Md Inc
Credential
Provider Entity Type
Organization
Address
274 One And Half S Rampart Blvd, Los Angeles, CA, 90057-1404
Phone Number
213-389-5570
Fax Number
213-389-5578
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C41876 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
274 One And Half S Rampart Blvd
City
State
Zip
90057-1404
Phone Number
213-389-5570
Fax Number
213-389-5578
person
Provider Business Mailing Address Details
Address
274 One And Half S Rampart Blvd
City
State
Zip
90057-1404
Phone Number
213-389-5570
Fax Number
213-389-5578
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
C41876 (California)
Definition
Definition to come...
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