Individual
SUMATI BAVISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1818 N ORANGE GROVE AVE, SUITE # 204, POMONA, CA 91767-3028
(909) 620-7200
(909) 620-5800
Mailing address
5601 DE SOTO AVE, HOSPITALIST OFFICE, 2ND FLOOR, WOODLAND HILLS, CA 91367-6701
(818) 482-5333
(818) 719-2414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A120743
CA
208M00000X
Hospitalist Physician
Primary
A120743
CA
Other
Enumeration date
04/11/2012
Last updated
12/08/2021
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