Individual
DR. SRINIVAS YANAMADALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 LOMITA BLVD, SUITE 104, TORRANCE, CA 90505-4909
(310) 316-4436
(310) 316-3147
Mailing address
PO BOX 3540, PALOS VERDES PENINSULA, CA 90274-9504
(310) 316-4436
(310) 316-3147
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A49479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A494791
—
CA
01
—
A49479
MEDICAL LICENSE
CA
Enumeration date
10/17/2006
Last updated
11/21/2013
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