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Organization
R S VASAN M D A PROFESSIONAL CORPORATION
Active
Organization
R S VASAN M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGACHARI SRINI VASAN M.D. (PRESIDENT)
(818) 782-4104
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, SUITE 210, VAN NUYS, CA 91405-3627
(818) 782-4104
(818) 782-0231
Mailing address
15243 VANOWEN ST, SUITE 210, VAN NUYS, CA 91405-3605
(818) 782-4104
(818) 782-0231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A33733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337330
—
CA
Enumeration date
06/23/2010
Last updated
07/20/2010
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