Individual
HEATHER VARUGHESE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
760 WESTWOOD PLZ, ROOM 37-384C, LOS ANGELES, CA 90024-5055
(310) 825-0548
(310) 825-0548
Mailing address
760 WESTWOOD PLZ, ROOM 37-384C, LOS ANGELES, CA 90024-5055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
137414
CA
2084P0800X
Psychiatry Physician
MD461011
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/13/2014
Last updated
05/24/2017
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