Individual
MISS NIVEDITHA VILASAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4867 W SUNSET BLVD FL 5, LOS ANGELES, CA 90027-5969
(323) 783-9541
Mailing address
4867 W SUNSET BLVD FL 5, LOS ANGELES, CA 90027-5969
(323) 783-9541
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A110069
CA
2080P0203X
Pediatric Critical Care Medicine Physician
MD042478
DC
Other
Enumeration date
08/04/2008
Last updated
12/21/2021
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