Organization
SRINATH SAMUDRALA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINATH SAMUDRALA MD (OWNER)
(310) 423-8972
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE 800, LOS ANGELES, CA 90048-4165
(310) 423-8972
(310) 423-9470
Mailing address
444 S SAN VICENTE BLVD, SUITE 800, LOS ANGELES, CA 90048-4165
(310) 423-8972
(310) 423-9470
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G83088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G830880
—
CA
Enumeration date
02/14/2008
Last updated
05/19/2011
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