person
Dr. Usha Vishvanath Date, MEDICALDOCTOR
Specialist in Anaheim, California
NPI 1972609568

Usha Vishvanath Date is a Specialist based in La Mirada, CA. Usha Vishvanath Date practices in Anaheim, CA and has the professional credentials of MEDICALDOCTOR. The NPI Number for Usha Vishvanath Date is 1972609568 and holds a License No. A33895 (California).

The current practice location address for Usha Vishvanath Date is 1717 E Lincoln Ave, Anaheim, CA and can be reached out via phone at 714-635-2642 and via fax at 714-635-8547.

Location: 1717 E Lincoln Ave, Anaheim, CA, 90638-5824
person
Provider Profile Details
NPI Number
1972609568
Provider Name
Usha Vishvanath Date
Credential
MEDICALDOCTOR
Provider Entity Type
Individual
Gender
Female
Address
1717 E Lincoln Ave, Anaheim, CA, 90638-5824
Phone Number
714-635-2642
Fax Number
714-635-8547
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A33895 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1717 E Lincoln Ave
City
State
Zip
92805-4345
Phone Number
714-635-2642
Fax Number
714-635-8547
person
Provider Business Mailing Address Details
Address
1717 E Lincoln Ave
City
State
Zip
92805-4345
Phone Number
714-635-2642
Fax Number
714-635-8547
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A33895 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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