Individual
DR. ARCHANA LAXMISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MA
Contact information
Practice address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-2872
(858) 616-8758
Mailing address
2020 GENESEE AVE, SAN DIEGO, CA 92123-4219
(858) 616-2872
(858) 616-8758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37823
IA
207R00000X
Internal Medicine Physician
Primary
C56078
CA
207R00000X
Internal Medicine Physician
N7302
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316822101
—
TX
Enumeration date
05/09/2008
Last updated
04/19/2017
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