Organization
DRS. MISHAL, PHAM & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVADATT MADHUKAR MISHAL M.D. (PARTNER)
(562) 869-4579
Entity
Organization
Contact information
Practice address
8500 FLORENCE AVE, SUITE 200, DOWNEY, CA 90240-4054
(562) 869-4579
(562) 862-1765
Mailing address
8500 FLORENCE AVE, SUITE 200, DOWNEY, CA 90240-4054
(562) 869-4579
(562) 862-1765
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A36594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0082351
GROUP MEDICAL RENDERING NUMBER
CA
Enumeration date
07/05/2006
Last updated
04/16/2018
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