Individual
PRADEEP SATYA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 STEIN PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-0571
(310) 206-9967
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A99979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A999790
—
CA
Enumeration date
02/27/2008
Last updated
01/27/2025
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