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Organization

CATHEDRAL MEDICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIKRAM KOTHANDARAMAN MD (MEDICAL DIRECTOR)
(323) 266-4446
Entity
Organization

Contact information

Practice address
2226 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-1825
(323) 266-4446
(323) 266-4447
Mailing address
2226 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-1825
(323) 266-4446
(323) 266-4447

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A91809
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A91809
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/25/2013
Last updated
06/28/2013
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