Individual
AMIT BALGUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
PO BOX 17957, IRVINE, CA 92623-7957
(216) 225-7893
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A114317
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2007
Last updated
11/29/2021
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