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Organization
SOUTHLANDS MEDICAL CLINIC
Active
Organization
SOUTHLANDS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMAJA REDDY KANKAR MD (PRESIDENT)
(818) 913-9551
Entity
Organization
Contact information
Practice address
8614 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2913
(818) 913-9551
(818) 647-6310
Mailing address
17171 ROSCOE BLVD, SUITE F215, NORTHRIDGE, CA 91325-4060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A 98001
CA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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