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Individual

MR. HARI PRASAD VASISTA KOTAKONDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5807 TOPANGA CANYON BLVD APT D105, WOODLAND HILLS, CA 91367
(408) 476-2990
Mailing address
5807 TOPANGA CANYON BLVD APT D105, WOODLAND HILLS, CA 91367-4601
(408) 476-2990

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3272
CA
235Z00000X
Speech-Language Pathologist
17275
CA
237600000X
Audiologist-Hearing Aid Fitter
HA8060
CA

Other

Enumeration date
01/05/2015
Last updated
01/16/2026
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