Individual
MS. ANANDA LYRA FIDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23622 CALABASAS RD, SUITE 339, CALABASAS, CA 91302-1549
(818) 225-0117
(818) 225-0127
Mailing address
23622 CALABASAS ROAD, SUITE 339, CALABASAS, CA 91302-1594
(818) 225-0117
(818) 225-0127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22526
CA
Other
Enumeration date
09/11/2012
Last updated
10/07/2015
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