Individual
KETAKI MILIND PANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 STEIN PLZ, LOS ANGELES, CA 90095-2632
(310) 825-3090
(310) 206-5673
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A179534
CA
Other
Enumeration date
03/20/2019
Last updated
07/28/2025
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