Organization
R SANKARAM M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELINE DUONG (ADMINISTRATION MANAGER)
(714) 721-0848
Entity
Organization
Contact information
Practice address
11100 WARNER AVE, SUITE 260, FOUNTAIN VALLEY, CA 92708-7506
(714) 641-6900
(714) 641-3900
Mailing address
62 MODENA, IRVINE, CA 92618-0104
(714) 721-0848
(949) 387-2500
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A25687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A256871
—
CA
Enumeration date
06/01/2011
Last updated
06/06/2025
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