Organization
SRIKANTH S RAO D O A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIKANTH S RAO D.O. (PRESIDENT)
(310) 329-2469
Entity
Organization
Contact information
Practice address
239 S LA CIENEGA BLVD, SUITE 200, BEVERLY HILLS, CA 90211-3328
(310) 329-2469
(310) 329-0176
Mailing address
239 S LA CIENEGA BLVD, SUITE 200, BEVERLY HILLS, CA 90211-3328
(310) 329-2469
(310) 329-0176
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A8793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6985137
—
CA
Enumeration date
03/18/2008
Last updated
06/03/2008
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