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Individual

DR. AVINASH M MONDKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2080 CENTURY PARK E STE 704, LOS ANGELES, CA 90067-2010
(310) 657-1995
(866) 431-8496
Mailing address
2080 CENTURY PARK E STE 704, LOS ANGELES, CA 90067-2010
(310) 657-1995
(866) 431-8496

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A35142
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A351420
CA
01
756063687
PALMETTO GBA RAILROAD MEDICARE/SOUTHERN CA
01
P00736288
PALMETTO GBA RAILROAD MEDICARE/NORTHERN CA
Enumeration date
08/05/2006
Last updated
08/20/2019
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