Individual
DAMAYANTHI DURAIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1574 W BASE LINE ST, SUITE 107, SAN BERNARDINO, CA 92411-1736
(909) 386-1880
(909) 386-1882
Mailing address
19726 SEGOVIA LN, YORBA LINDA, CA 92886-2841
(909) 881-7320
(909) 881-7329
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00A39805
CA
Other
Enumeration date
04/10/2006
Last updated
10/17/2008
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