# KOMALA IYENGAR M.D.INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265496111
- **Authorized official:** DR. KOMALA IYENGAR M.D., (ANESTHESIOLOGIST)
- **Authorized official phone:** (310) 916-7066

## Contact information

- **Practice address:** 7301 EL DOMINO WAY, \#3, BUENA PARK, CA 90620-2652
- **Practice address phone:** (310) 916-7066
- **Mailing address:** 7301 EL DOMINO WAY, \#3, BUENA PARK, CA 90620-2652
- **Mailing address phone:** (310) 916-7066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A032976 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2006
- **Last updated:** 08/22/2020