Individual
DR. GANESH L DEVENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 SYCAMORE DR, SUITE 103, SIMI VALLEY, CA 93065-1208
(805) 583-0944
(805) 526-0417
Mailing address
22347 N SUMMIT RIDGE CIR, CHATSWORTH, CA 91311-2690
(818) 993-8232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A44521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A445210
—
CA
Enumeration date
03/07/2006
Last updated
12/06/2011
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