Individual
KOMAL SURYAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
2999 E STEARNS ST, BREA, CA 92821-4745
(714) 457-9284
Mailing address
2999 E STEARNS ST, BREA, CA 92821-4745
(714) 457-9284
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
96182
CA
Other
Enumeration date
07/20/2010
Last updated
02/06/2014
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