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Organization
PAMVAS, INC.
Active
Organization
PAMVAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISANT A. SANATHARA M.D. (PRESIDENT)
(855) 779-2437
Entity
Organization
Contact information
Practice address
12223 HIGHLAND AVENUE, SUITE 544, RANCHO CUCAMONGA, CA 91739-2574
(855) 779-2437
(855) 771-4950
Mailing address
12223 HIGHLAND AVENUE, SUITE 544, RANCHO CUCAMONGA, CA 91739-2574
(855) 779-2437
(855) 771-4950
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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