Individual
DILIP ANMANGANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
28040 DOROTHY DRIVE SUITE 103, AGOURA HILLS, CA 91301
(818) 483-6334
(818) 483-6345
Mailing address
28040 DOROTHY DRIVE SUITE 103, AGOURA HILLS, CA 91301
(818) 483-6334
(818) 483-6345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A119597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1195970
—
CA
Enumeration date
10/18/2009
Last updated
04/29/2015
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