Individual
DR. GEETA VENKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26726 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-8003
(949) 364-4361
(949) 364-4495
Mailing address
26726 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-8003
(949) 364-4361
(949) 364-4495
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
A37906
CA
207KA0200X
Allergy Physician
Primary
A37906
CA
Other
Enumeration date
08/30/2006
Last updated
09/17/2016
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