Organization
KOMALA IYENGAR M.D.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOMALA IYENGAR M.D., (ANESTHESIOLOGIST)
(310) 916-7066
Entity
Organization
Contact information
Practice address
7301 EL DOMINO WAY, #3, BUENA PARK, CA 90620-2652
(310) 916-7066
Mailing address
7301 EL DOMINO WAY, #3, BUENA PARK, CA 90620-2652
(310) 916-7066
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A032976
CA
Other
Enumeration date
04/15/2006
Last updated
08/22/2020
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