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Sundararajan Venkatadriagaram
Student in an Organized Health Care Education/Training Program in West Hollywood, California
NPI 1912285677

Sundararajan Venkatadriagaram is a Student in an Organized Health Care Education/Training Program based in West Hollywood, CA. Sundararajan Venkatadriagaram practices in West Hollywood, CA. The NPI Number for Sundararajan Venkatadriagaram is 1912285677 and holds a License No. (California).

The current practice location address for Sundararajan Venkatadriagaram is 1215 N Olive Dr, West Hollywood, CA and can be reached out via phone at 951-255-0106.

Location: 1215 N Olive Dr, West Hollywood, CA, 90069-2765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912285677
Provider Name
Sundararajan Venkatadriagaram
Credential
Provider Entity Type
Individual
Gender
Male
Address
1215 N Olive Dr, West Hollywood, CA, 90069-2765
Phone Number
951-255-0106
Fax Number
Provider Enumeration Date
07/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 N Olive Dr
City
West Hollywood
State
California
Zip
90069-2765
Phone Number
951-255-0106
Fax Number
person
Provider Business Mailing Address Details
Address
1215 N Olive Dr
City
West Hollywood
State
California
Zip
90069-2765
Phone Number
951-255-0106
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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