Individual
AMBUJAM PANCHANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
(213) 744-3734
(213) 765-0537
Mailing address
9741 DONNA AVE, NORTHRIDGE, CA 91324-1822
(818) 993-3034
(818) 993-3064
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A32206
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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