Individual
ANITA DAMODARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-4828
Mailing address
711 AFTON CT, REDLANDS, CA 92374-6343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A129936
CA
Other
Enumeration date
05/09/2012
Last updated
12/07/2015
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