# VIBHAY PRASAD, M.D., INC

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

## Provider details

- **NPI number:** 1487687661
- **Authorized official:** VIBHAY PRASAD M.D. (OWNER)
- **Authorized official phone:** (805) 496-4020

## Contact information

- **Practice address:** 1220 LA VENTA DR, SUITE 104, WESTLAKE VILLAGE, CA 91361-3703
- **Practice address phone:** (805) 496-4020
- **Practice address fax:** (805) 496-4030
- **Mailing address:** PO BOX 90125, LONG BEACH, CA 90809-0125
- **Mailing address phone:** (800) 404-2353
- **Mailing address fax:** (562) 795-0676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | G75764 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 04/27/2012