Individual
MAHENDRA G SANATHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 E. FLORENCE AVE., LOS ANGELES, CA 90001-2754
(323) 581-0000
(323) 585-4030
Mailing address
2015 E. FLORENCE AVE., LOS ANGELES, CA 90001-2754
(323) 581-0000
(323) 585-4030
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
A50182
CA
208D00000X
General Practice Physician
Primary
A50182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A501821
—
CA
01
—
A50182
STATE LICENSE
CA
Enumeration date
06/14/2011
Last updated
06/14/2011
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