Organization
SIMI WORKPLACE MULTI-SPECIALTY CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADAYAPPA DURAIRAJ M.D. (PREDIDENT)
(818) 504-4700
Entity
Organization
Contact information
Practice address
2755 ALAMO ST # 100, SIMI VALLEY, CA 93065-1313
(805) 955-8160
Mailing address
2755 ALAMO ST # 100, SIMI VALLEY, CA 93065-1313
(805) 955-8160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
CA
208000000X
Pediatrics Physician
—
CA
208D00000X
General Practice Physician
Primary
—
CA
Other
Enumeration date
08/07/2008
Last updated
08/08/2008
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