Individual
NAGESH RAGAVENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 100, LOS ANGELES, CA 90024-7000
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A51254
CA
2085U0001X
Diagnostic Ultrasound Physician
A51254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A512540
—
CA
Enumeration date
08/21/2006
Last updated
12/18/2019
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