Individual
PREMA SRINIVASA HAMPAPUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 N ROBERTSON BLVD STE 106A, BEVERLY HILLS, CA 90211-1767
(818) 922-2244
Mailing address
9663 SANTA MONICA BLVD # 1151, BEVERLY HILLS, CA 90210-4303
(818) 922-2244
(877) 239-0994
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5529
CA
Other
Enumeration date
06/02/2015
Last updated
03/26/2020
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