Individual
SUDHA NALLASAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 HILLMONT AVE BLDG 340 STE 302, VENTURA, CA 93003
(805) 652-6255
Mailing address
4650 W SUNSET BLVD, MS #88, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
239427
MA
207W00000X
Ophthalmology Physician
4301096297
MI
207W00000X
Ophthalmology Physician
Primary
A121868
CA
207W00000X
Ophthalmology Physician
MT186127
PA
Other
Enumeration date
01/09/2007
Last updated
03/17/2026
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