Individual
MISS RENUKA TANIA RUDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 SOLAR DR STE 140, OXNARD, CA 93030-0136
(805) 366-4667
(805) 336-4647
Mailing address
PO BOX 888584, LOS ANGELES, CA 90088-8584
(925) 691-9806
(925) 691-9807
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A175678
CA
Other
Enumeration date
03/27/2017
Last updated
03/28/2024
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