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Individual

VIBHAY PRASAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 LA VENTA DR, SUITE 104, WESTLAKE VILLAGE, CA 91361-3703
(805) 496-4020
(805) 496-4030
Mailing address
PO BOX 90125, LONG BEACH, CA 90809-0125
(562) 598-8558
(562) 795-0676

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G75764
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G757640
CA
Enumeration date
07/10/2006
Last updated
12/28/2011
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