Individual
AMRUTA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-7984
(855) 246-2329
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A190231
CA
Other
Enumeration date
03/23/2017
Last updated
12/13/2023
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