Individual
XERXES D PUNTHAKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, SUITE 550, LOS ANGELES, CA 90095-0001
(310) 206-6688
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 203-6688
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A109106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1091060
—
CA
Enumeration date
08/05/2009
Last updated
03/23/2011
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