Individual
AVINASH N GURURAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 INDIAN HILLS RD STE 102, MISSION HILLS, CA 91345-1225
(818) 838-4500
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A78267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OOG718240
BLUE SHIELD
CA
Enumeration date
07/08/2006
Last updated
01/18/2026
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