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Individual

CHANNA OBEYESEKERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-3281
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352

Taxonomy

Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
17385
CA

Other

Enumeration date
08/15/2017
Last updated
08/15/2017
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