Individual
SRIDEVI KESAVAN KORAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11332 MOUNTAIN VIEW AVE STE C, LOMA LINDA, CA 92354-3854
(909) 558-6131
Mailing address
11332 MOUNTAIN VIEW AVE STE C, LOMA LINDA, CA 92354-3854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A178658
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A178658
CA
Other
Enumeration date
03/19/2019
Last updated
08/28/2023
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