Individual
MRS. KALA SWAMYNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1805 N CALIFORNIA ST, AUITE 101, STOCKTON, CA 95204-6037
(209) 948-5515
(209) 948-9321
Mailing address
1805 N CALIFORNIA ST, SUITE 101, STOCKTON, CA 95204-6037
(209) 948-5515
(209) 948-9321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A63877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A638771
—
CA
Enumeration date
01/26/2006
Last updated
07/31/2008
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