Individual
DEEPMALA NANDANWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9940 TALBERT AVE STE 100, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5062
(714) 378-5061
Mailing address
9940 TALBERT AVE STE 100, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-5635
(714) 378-5061
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A172844
CA
Other
Enumeration date
07/29/2015
Last updated
01/10/2022
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