Individual
UDAY DEVGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 WILSHIRE BLVD., SUITE 200, LOS ANGELES, CA 90025
(310) 696-0330
(310) 388-3028
Mailing address
11600 WILSHIRE BLVD., SUITE 200, LOS ANGELES, CA 90025
(310) 696-0330
(310) 388-3028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A65426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A654260
—
CA
Enumeration date
06/19/2006
Last updated
05/04/2010
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