Individual
RAMPRASAD C DANDILLAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 N ROBERTSON,, SUITE 150, BEVERLY HILLS, CA 90211
(310) 854-4995
(310) 540-0733
Mailing address
4201 TORRANCE BLVD STE 150, TORRANCE, CA 90503-4505
(310) 854-4995
(310) 652-4053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A77410
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A77410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A774100
BLUE SHIELD OF CA PIN
CA
05
—
00A774100
—
CA
01
—
15760
MEDICAL LICENSE
NV
01
—
42383
MEDICAL LICENSE
AZ
01
—
A77410
BLUE CROSS PIN
CA
Enumeration date
04/11/2006
Last updated
05/08/2025
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