Individual
DR. AMITABH PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9080 COLIMA RD, WHITTIER, CA 90605-1600
(562) 907-1565
(562) 907-1585
Mailing address
7510 E SANTIAGO CANYON RD, ORANGE, CA 92869-1804
(714) 639-1740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A37785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A377850
—
CA
Enumeration date
06/09/2006
Last updated
05/08/2008
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