# SIMI WORKPLACE MULTI-SPECIALTY CLINIC,INC

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

## Provider details

- **NPI number:** 1487800645
- **Authorized official:** SADAYAPPA DURAIRAJ M.D. (PREDIDENT)
- **Authorized official phone:** (818) 504-4700

## Contact information

- **Practice address:** 2755 ALAMO ST \# 100, SIMI VALLEY, CA 93065-1313
- **Practice address phone:** (805) 955-8160
- **Mailing address:** 2755 ALAMO ST \# 100, SIMI VALLEY, CA 93065-1313
- **Mailing address phone:** (805) 955-8160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CA | — |
| 207R00000X | Internal Medicine Physician | — | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | CA | — |
| 208000000X | Pediatrics Physician | — | CA | — |
| 208D00000X | General Practice Physician | — | CA | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 08/08/2008