Individual
KAMAKSHI DEVARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-2005
Mailing address
90 HEADLAND DR, RANCHO PALOS VERDES, CA 90275-5117
(310) 833-0082
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A55865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A558650
—
CA
Enumeration date
01/10/2007
Last updated
07/08/2007
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