Individual
DR. VENU DIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W 5TH ST STE 209, SAN PEDRO, CA 90731-2752
(310) 521-6386
(310) 521-6387
Mailing address
21320 HAWTHORNE BLVD, SUITE 119, TORRANCE, CA 90503-5606
(310) 540-2111
(310) 944-9295
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C55612
CA
Other
Enumeration date
12/11/2006
Last updated
06/13/2019
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