Individual
DR. LATHIKA RAAKESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3114 W BEVERLY BLVD, MONTEBELLO, CA 90640
(323) 726-3868
(323) 726-3870
Mailing address
2149 E WARNER RD STE 102, TEMPE, AZ 85284-3495
(480) 610-6100
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A125715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151286
—
CA
Enumeration date
05/23/2011
Last updated
03/25/2022
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