Individual
MS. JAYALAKSHMAMMA BANGARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
15 SOUTH CAROL PINE LANE, ARCADIA, CA 91007
(626) 234-6394
Mailing address
15 SOUTH CAROL PINE LANE, ARCADIA, CA 91007
(626) 234-6394
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AFE32365
CA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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