Individual
DR. SANJEEV NARESH PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 BELLEFONTAINE ST STE 304, PASADENA, CA 91105-3132
(626) 788-9152
(626) 658-8917
Mailing address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A116772
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
A116772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A116772
MEDICAL LIC
CA
Enumeration date
04/20/2010
Last updated
06/25/2019
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