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Organization

GEETA VENKATASUBRAMANIAM MD INC

Active
Parent organization
GEETA VENKATASUBRAMANIAM M.D.INC
Other names
Geeta Venkat M.D.INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEETA VENKATASUBRAMANIAM M.D.INC
Authorized official
GEETA VENKAT M.D. (OWNER)
(949) 364-3551
Entity
Organization

Contact information

Practice address
26732 CROWN VALLEY PKWY, STE 431, MISSION VIEJO, CA 92691-6306
(949) 364-3551
(949) 364-1921
Mailing address
26732 CROWN VALLEY PKWY, STE 431, MISSION VIEJO, CA 92691-6306
(949) 364-3551
(949) 364-1921

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/27/2012
Last updated
03/27/2012
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