Organization
PRASAD D. MUMMANENI, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SOUZA (OFFICE MANAGER)
(805) 983-0208
Entity
Organization
Contact information
Practice address
1700 N ROSE AVE, STE 350, OXNARD, CA 93030-3790
(805) 983-0208
(805) 981-0565
Mailing address
1700 N ROSE AVE, STE 350, OXNARD, CA 93030-3790
(805) 983-0208
(805) 981-0565
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A35782
CA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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