Organization
KANAKAVALLI SURESH IYER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANAKAVALLI IYER M.D. (PRESIDENT/PHYSICIAN)
(805) 907-9561
Entity
Organization
Contact information
Practice address
1950 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3503
(805) 907-9561
(951) 272-9924
Mailing address
2310 SUNNY POINT ST, THOUSAND OAKS, CA 91362-1143
(805) 907-9561
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A56234
CA
Other
Enumeration date
11/17/2015
Last updated
06/08/2016
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