Individual
DR. ARUDI L PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6136 LAKE MURRAY BLVD, LA MESA, CA 91942-2502
(619) 303-5500
(619) 303-5595
Mailing address
18231 IRVINE BLVD, STE 204, TUSTIN, CA 92780-3432
(714) 389-5700
(714) 389-6973
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A31627
CA
Other
Enumeration date
02/17/2006
Last updated
05/18/2011
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