Individual
PRASHANTH VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 S SAN VICENTE BLVD # A3600, LOS ANGELES, CA 90048-3311
(310) 423-1153
(310) 423-6795
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A149068
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
08/04/2022
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