Organization
SOUTHERN CALIFORNIA INFECTIOUS DISEASE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAN RADHAKRISHNA MD (MD/PARTNER)
(213) 483-0901
Entity
Organization
Contact information
Practice address
2325 TOWNSGATE RD, SUITE 100, WESTLAKE VILLAGE, CA 91361-5986
(213) 483-0901
(213) 483-6650
Mailing address
PO BOX 2190, LA HABRA, CA 90632-2190
(213) 483-0901
(213) 483-6650
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
W11997
CA
Other
Enumeration date
07/06/2006
Last updated
12/04/2025
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